TY - JOUR AU - Liebrich, Markus; Schweder, Marco; Seeburger, Joerg; Voth, Vladimir TI - Triple-Arterial Cannulation Approach for Whole-Body Perfusion in Infant Hypoplastic Aortic Arch and Coarctation Repair SN - 2194-7635 SN - 2194-7643 PY - 2022 JO - Thorac Cardiovasc Surg Rep JF - The Thoracic and Cardiovascular Surgeon Reports LA - EN VL - 11 IS - 01 SP - e47 EP - e49 DA - 2022/08/24 KW - hypoplastic transverse aortic arch KW - beating heart KW - cerebro-myocardial perfusion KW - visceral perfusion AB - 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. PB - Georg Thieme Verlag KG DO - 10.1055/s-0042-1750428 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0042-1750428 ER -