Type A Aortic Dissection Following Heart Transplantation

TL;DR

This paper presents a new surgical technique for aortic arch dissection that avoids deep hypothermic circulatory arrest, potentially reducing risks.

Contribution

A novel cannulation strategy using axillary and femoral arteries is introduced to avoid DHCA while ensuring neuroprotection.

Findings

A dual cannulation strategy was successfully used without DHCA.

The method ensured complete neuroprotection of the brain and spinal cord.

This approach may reduce morbidity and mortality associated with DHCA.

Abstract

Cannulation strategies in aortic arch surgeries are a matter of immense
discussion. Majority of time deep hypothermic circulatory arrest (DHCA) is the
way out, but it does come with its set of demerits. Here we demonstrate a case
with aortic arch dissection dealt with dual cannulation strategy in axillary and
femoral artery without need for DHCA and ensuring complete neuroprotection of
brain and spinal cord without hinderance of time factor. Inception of new ideas
like this may decrease the need for DHCA and hence its drawbacks, thus
decreasing the morbidity and mortality associated.

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