CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2022; 11(01): e47-e49
DOI: 10.1055/s-0042-1750428
Case Report: Vascular

Triple-Arterial Cannulation Approach for Whole-Body Perfusion in Infant Hypoplastic Aortic Arch and Coarctation Repair

Markus Liebrich
1   Departement of Cardiac Surgery, Sana Herzchirurgie Stuttgart GmbH, Stuttgart, Baden-Württemberg, Germany
,
Marco Schweder
1   Departement of Cardiac Surgery, Sana Herzchirurgie Stuttgart GmbH, Stuttgart, Baden-Württemberg, Germany
,
Joerg Seeburger
1   Departement of Cardiac Surgery, Sana Herzchirurgie Stuttgart GmbH, Stuttgart, Baden-Württemberg, Germany
,
Vladimir Voth
1   Departement of Cardiac Surgery, Sana Herzchirurgie Stuttgart GmbH, Stuttgart, Baden-Württemberg, Germany
› Author Affiliations

Abstract

Organ and end-organ protection in aortic arch surgery represents a substantial challenge, especially in infants. Selective antegrade cerebral perfusion has been reported to improve organ function during this procedure. Visceral perfusion can be optimized by cannulation of the descending aorta during infant aortic arch surgery, leading to a decrease in end organ damage. However, it is associated with extensive surgical manipulation and subsequent risk of major vessel and potential organ damage. In this report, we describe a technique for distal body perfusion in an infant with hypoplastic aortic arch and isthmus stenosis by ultrasound-guided cannulation of the femoral artery using an intra-arterial vascular sheath establishing whole-body perfusion by triple cannulation.

Presented at the 49th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery, Wiesbaden, Germany, 29th February to 3rd March 2020




Publication History

Received: 12 December 2021

Accepted: 04 April 2022

Article published online:
24 August 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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