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CC BY 4.0 · Aorta (Stamford)
DOI: 10.1055/s-0044-1780519
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The New Delivery Method for Cardioplegic Solution in Type A Aortic Dissection

Evgeny V. Rosseikin 
1   Federal Center for Cardiovascular Surgery, Khabarovsk, Russia
,
Evgeny E. Kobzev 
2   Department of Cardiac Surgery No. 2, Federal Center for Cardiovascular Surgery, Khabarovsk, Russia
,
Alexander A. Gornostaev 
3   Department of Anesthesiology and Intensive Care, Federal Center for Cardiovascular Surgery, Khabarovsk, Russia
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Abstract

Adequate myocardial protection is crucial for a successful cardiac surgery. In type A aortic dissection, standard methods of delivery of cardioplegic solution may not be adequately effective. Ineffectiveness may happen due to both features of the anatomy of the dissection and to peculiarities of the delivery method itself. We present a new method of delivering a cardioplegic solution using a Foley catheter through the orifice of the brachiocephalic trunk or the left common carotid artery.

Keywords

aortic dissection - myocardial protection - thoracic aorta


Publication History

Received: 17 December 2022

Accepted: 08 November 2023

Article published online:
02 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Rosseykin E, Kobzev E, Bazylev V. One more method for arterial cannulation in aortic arch surgery (“Penza cannulation”). Asian Cardiovasc Thorac Ann 2018; 26 (07) 584-586
    CrossrefPubMedGoogle Scholar
  • 2 Matalanis G, Perera NK, Galvin SD. Aortic arch replacement without circulatory arrest or deep hypothermia: the “branch-first” technique. J Thorac Cardiovasc Surg 2015; 149 (2, Suppl): S76-S82
    CrossrefPubMedGoogle Scholar
  • 3 Whittaker A, Aboughdir M, Mahbub S, Ahmed A, Harky A. Myocardial protection in cardiac surgery: how limited are the options? A comprehensive literature review. Perfusion 2021; 36 (04) 338-351
    CrossrefPubMedGoogle Scholar
  • 4 Matsui Y, Shimura S, Suto Y, Sasaki S. Occluding the junction of the middle cardiac vein in retrograde cardioplegia: a new retrograde cannula for optimizing retrograde cardioplegic delivery. Surg Today 2007; 37 (01) 89-92
    CrossrefPubMedGoogle Scholar