This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Toshihiko Ueda Shinichi Taguchi Yoshito Inoue Ichiro Kashima Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Ueda, T. Articles by Kashima, I. Search for Related Content PubMed PubMed Citation Articles by Ueda, T. Articles by Kashima, I.

Hypothermic circulatory arrest through a left thoracotomy in a 12-year-old child with aortic coarctation

Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashi-machi, Utsunomiya, 321-0974, Tochigi, Japan

*Corresponding author. Tel.: +81-28-626-5500; fax: +81-28-626-5594.

E-mail address: toshihiko_ueda{at}saimiya.com (T. Ueda).

Surgical correction of adult complex aortic coarctation using hypothermic circulatory arrest often requires central cannulation to secure cerebral perfusion. It is not easy to place the cannula in the ascending aorta, however, especially in children undergoing surgery through a left thoracotomy. In a 12-year-old male with hypoplastic distal aortic arch, we placed an arterial cannula in the ascending aorta using the Seldinger puncture technique through the stenotic segment of the distal aortic arch. Replacement of the stenotic segment with a 20 mm-size Dacron graft was then routine. The ascending aorta was exposed only for the proximal anastomosis. The left subclavian artery was also reconstructed. This central cannulation technique is simple and is useful in repairing complex aortic coarctation.

Key Words: Aortic coarctation; Hypothermic circulatory arrest; Central cannulation; Seldinger technique