General Thoracic and Cardiovascular Surgery

, Volume 67, Issue 1, pp 127–131 | Cite as

Aortic arch aneurysm surgery: what is the gold standard temperature in the absence of randomized data?

  • Amer Harky
  • Mohamad Bashir
  • Giovanni MariscalcoEmail author
SPECIAL EDITION Controversies in Surgery for Thoracic Aorta


In the absence randomized data for assessing the best and optimal temperature for managing open aortic arch surgery patients, cerebral protection method is still performed through hypothermic circulatory arrest with or without the use of adjuncts. A recent consensus has emerged setting to define the temperature levels. In an attempt, this was aimed to establish a solid ground for future trials in aortic arch surgery. This article reviews the current literature and the evidences behind using different temperature methods and their outcomes in patients undergoing open aortic arch surgery.


Hypothermia Aorta Aneurysm Aortic arch Circulatory arrest Deep hypothermic circulatory arrest Thoracic aortic surgery 


Compliance with ethical standards

Conflict of interest

There are no conflicts of interest or sources of support.


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Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  1. 1.Barts Heart CentreSt Bartholomew’s HospitalLondonUK
  2. 2.Department of Cardiovascular Sciences, Glenfield HospitalUniversity of LeicesterLeicesterUK

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