Several methods have been proposed to avoid cerebral damage during aortic arch surgery.
Antegrade, bilateral, selective cerebral perfusion is probably the most efficient
one, although it has some drawbacks, such as air or particulate embolism risk, limitation
in operative field visibility, and interactions with surgical maneuvers. We describe
a surgical technique that provides bilateral antegrade perfusion to the brain, via
the right axillary artery, with no need of additional arterial lines or shunting devices.
Keywords
aorta/aortic - cerebral protection
