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Aortic Arch Surgery Under Warm Conditions (Moderate to Mild Hypothermia)

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Surgical Management of Aortic Pathology

Abstract

Since the beginnings of cardiovascular surgery, aortic arch surgery has been the most challenging aspiration. Not only requiring the finest surgical skills but also demanding sound knowledge in neurophysiology since adequate cerebral and visceral protection is essential for achieving a successful outcome.

Interestingly, the absolute necessity of deep hypothermia during aortic arch surgery has been queried due to the severe advantages of warmer systemic temperature during the systemic circulatory arrest. Therefore, more and more centers worldwide changed their paradigm by being warmer till reaching a mild hypothermia at systemic circulatory arrest and using selective antegrade cerebral perfusion (ACP) during aortic surgery.

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Authors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, Kepler University Hospital, Johannes Kepler University Linz, Linz, Austria

    Ali El-Sayed Ahmad, Razan Salem & Andreas Zierer

Authors
  1. Ali El-Sayed Ahmad
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  2. Razan Salem
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  3. Andreas Zierer
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Corresponding author

Correspondence to Andreas Zierer .

Editor information

Editors and Affiliations

  1. Fmr Royal Brompton Hospital, London, UK

    Olaf H. Stanger

  2. Royal Brompton Hospital, London, UK

    John R. Pepper

  3. Heart and Vascular Institute, Cleveland Clinic, Cleveland, OH, USA

    Lars G. Svensson

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Ahmad, A.ES., Salem, R., Zierer, A. (2019). Aortic Arch Surgery Under Warm Conditions (Moderate to Mild Hypothermia). In: Stanger, O., Pepper, J., Svensson, L. (eds) Surgical Management of Aortic Pathology. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4874-7_67

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  • DOI: https://doi.org/10.1007/978-3-7091-4874-7_67

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  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-4872-3

  • Online ISBN: 978-3-7091-4874-7

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