Aortic Arch-Clamping Technique in Hemiarch Replacement Without Circulatory Arrest

Bo Jia; Cheng Luo; Chengnan Li; Yipeng Ge; Yongliang Zhong; Zhiyu Qiao; Haiou Hu; Yi Yang; Hai Yu; Junming Zhu

doi:10.1016/j.hlc.2023.04.292

Aortic Arch-Clamping Technique in Hemiarch Replacement Without Circulatory Arrest

Heart Lung Circ. 2023 Aug;32(8):e47-e50. doi: 10.1016/j.hlc.2023.04.292. Epub 2023 Jun 10.

Authors

Bo Jia¹, Cheng Luo¹, Chengnan Li¹, Yipeng Ge¹, Yongliang Zhong¹, Zhiyu Qiao¹, Haiou Hu¹, Yi Yang¹, Hai Yu¹, Junming Zhu²

Affiliations

¹ Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
² Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China. Electronic address: anzhenzjm@163.com.

PMID: 37308365
DOI: 10.1016/j.hlc.2023.04.292

Abstract

The open anastomosis technique has become more popular since it was first used in hemiarch replacement; however, hypothermic circulatory arrest is unavoidable. This institution performed a novel surgical technique called the arch-clamping technique. It has been used in the treatment of patients with ascending aortic aneurysm extending to the proximal aortic arch and avoids the use of hypothermic circulatory arrest. Thirty patients had a hemiarch replacement with the arch-clamping technique from 2021 to 2022; all of them were discharged uneventfully.

Keywords: Aortic arch; Ascending aneurysm; Hemiarch replacement; Hypothermic circulatory arrest.

MeSH terms

Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery
Aortic Aneurysm* / surgery
Aortic Aneurysm, Thoracic* / diagnosis
Aortic Aneurysm, Thoracic* / etiology
Aortic Aneurysm, Thoracic* / surgery
Blood Vessel Prosthesis Implantation* / methods
Constriction
Heart Arrest* / etiology
Heart Arrest, Induced / methods
Humans
Treatment Outcome