Key result
Aortic root replacement with the Cabrol technique was performed on a beating heart using continuous antegrade and retrograde normothermic blood perfusion for an ascending aortic aneurysm.
Case Report (n=1)
Demonstrates the feasibility of performing aortic root replacement on a beating heart using continuous antegrade and retrograde normothermic blood perfusion to potentially reduce ischemic reperfusion injury.
Should not change practice after one case; hypothesis-generating for beating-heart aortic techniques.
All articles of this category Introduction The conventional technique for aortic root surgery consists of cardiopulmonary bypass (CPB), aortic cross-clamping, systemic cooling and cardioplegic arrest of the heart [[ 1 ], [ 2 ]]. The whole operation is time consuming and exposes the heart to ischemic reperfusion injury after the removal of aortic cross-clamping. These factors become especially important in patients with impaired left ventricular function or with a calcified aneurysm partially occluding the coronary artery ostia. There is consensus among surgeons that the adverse and damaging effects of cardioplegic techniques are ischemia and reperfusion injury, especially in cases with longer cross-clamping times [[ 3 ]]. More recently, perfect results have been reported with warm, beating heart surgery [[ 4 ], [ 5 ]]. A case of aortic root replacement with the Cabrol technique performed for ascending aortic aneurysm on a beating heart, which was continuously perfused via the antegrade and retrograde routes with normothermic blood throughout the procedure, is presented here.
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Katircioglu et al. (2007) conducted a case report in Ascending aortic aneurysm (n=1). Aortic root replacement with the Cabrol technique on a beating heart with continuous antegrade and retrograde normothermic blood perfusion was evaluated. Aortic root replacement with the Cabrol technique was performed on a beating heart using continuous antegrade and retrograde normothermic blood perfusion for an ascending aortic aneurysm.