Whole body perfusion in patients undergoing frozen elephant trunk for type A acute aortic dissections

Giangiuseppe Cappabianca; Claudio Roscitano; Samuele Bichi; Antonio Cricco; Matteo Parrinello; Cesare Beghi; Giovanni Albano; Giampiero Esposito

doi:10.1177/0267659116669585

Whole body perfusion in patients undergoing frozen elephant trunk for type A acute aortic dissections

Perfusion. 2017 Mar;32(2):164-167. doi: 10.1177/0267659116669585. Epub 2016 Sep 24.

Authors

Giangiuseppe Cappabianca¹, Claudio Roscitano², Samuele Bichi², Antonio Cricco², Matteo Parrinello², Cesare Beghi¹, Giovanni Albano², Giampiero Esposito²

Affiliations

¹ 1 Department of Cardiac Surgery, Circolo Hospital, University of Insubria, Varese, Italy.
² 2 Department of Cardiac Surgery, Humanitas Gavazzeni Hospital, Bergamo, Italy.

PMID: 27613702
DOI: 10.1177/0267659116669585

Abstract

The Frozen Elephant Trunk (FET) can be adopted in selected type A acute aortic dissections (TAAAD). During FET, a prolonged distal circulatory arrest exposes the spine and visceral organs to potential ischemic injuries. Antegrade distal aortic perfusion (ADAP) could minimize this risk: we describe the technical aspects of the simultaneous use of antegrade cerebral perfusion (ACP) and ADAP achieving a "Whole Body Perfusion" (WBP) during FET.

Keywords: distal aortic perfusion; frozen elephant trunk.

MeSH terms

Acute Disease
Aorta / physiopathology
Aorta / surgery
Aortic Dissection / physiopathology
Aortic Dissection / surgery
Aortic Dissection / therapy*
Brain / blood supply
Cardiopulmonary Bypass / instrumentation
Cardiopulmonary Bypass / methods*
Catheterization / instrumentation
Catheterization / methods
Equipment Design
Humans
Perfusion / instrumentation
Perfusion / methods*