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Teruhisa Kazui
Abul Hasan Muhammad Bashar
Naoki Washiyama
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J Thorac Cardiovasc Surg 2005;129:1207-1208
© 2005 The American Association for Thoracic Surgery

Letters to the Editor

Total aortic arch replacement and limited circulatory arrest of the brain

Teruhisa Kazui, MD, PhD, Abul Hasan Muhammad Bashar, MBBS, PhD, Naoki Washiyama, MD, PhD

First Department of Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan

The first 20% of the full text of this article appears below.

To the Editor:

We read with great interest the article by Kouchoukos and Masetti1 titled "Total Aortic Arch Replacement With a Branched Graft and Limited Circulatory Arrest of the Brain," published in the August 2004 issue of the Journal. The article describes the authors’ experience with total arch replacement (TAR) for various pathologic conditions of the aortic arch (except acute type A dissection) with branched aortic prostheses and unilateral antegrade cerebral perfusion through the right axillary artery. The article generally attests to the appropriateness of the use of branched aortic prosthesis and antegrade brain perfusion for TAR surgery. Since 1986, we have been routinely using antegrade selective cerebral perfusion and a branched aortic graft for TAR procedures.2 The results we have achieved through the years give us reason to be convinced that the use of the branched grafts rather than tube prostheses and antegrade brain perfusion for . . . [Full Text of this Article]






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