Antegrade cerebral perfusion during arterial switch procedure in patients with aortic arch obstruction

Boriskov M.V.; Efimochkin G.A.; Karakhalis N.B.; Shadrin A.K.; Vanin O.A.; Tkachenko I.A.; Iofe E.I.; Pereverzeva A.A.

doi:https://doi.org/10.17116/kardio202215041333

Boriskov M.V.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Efimochkin G.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Karakhalis N.B.

Kuban State Medical University;
Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Shadrin A.K.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Vanin O.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Tkachenko I.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Iofe E.I.

Kuban State Medical University

Pereverzeva A.A.

Kuban State Medical University

Antegrade cerebral perfusion during arterial switch procedure in patients with aortic arch obstruction

Authors:

Boriskov M.V., Efimochkin G.A., Karakhalis N.B., Shadrin A.K., Vanin O.A., Tkachenko I.A., Iofe E.I., Pereverzeva A.A.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(4): 333‑337

DOI: 10.17116/kardio202215041333

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To cite this article:

Boriskov MV, Efimochkin GA, Karakhalis NB, et al. . Antegrade cerebral perfusion during arterial switch procedure in patients with aortic arch obstruction. Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(4):333‑337. (In Russ.)
https://doi.org/10.17116/kardio202215041333

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

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OBJECTIVE

To report own experience of simultaneous correction of transposition of the great arteries and aortic arch obstruction with antegrade cerebral perfusion.

MATERIAL AND METHODS

Ten patients with transposition of the great arteries combined with aortic arch obstruction underwent surgery between 2014 and December 2021. Of these, 8 patients had transposition of the great arteries and ventricular septal defect, 2 ones — Taussig—Bing anomaly. Aortic arch anomalies included aortic coarctation with aortic arch hypoplasia (80%) and aortic arch interruption (20%).

RESULTS

One patient died in early postoperative period. There were no long-term fatal outcomes. We did not receive neurological complications using antegrade cerebral perfusion while moderate hypothermia ensured no capillary leakage and multiple organ failure syndromes.

CONCLUSION

Simultaneous correction in neonatal period is indicated in patients with transposition of the great arteries combined with aortic arch obstruction. Antegrade cerebral perfusion reduces the risk of cognitive and psychomotor impairment, while moderate hypothermia avoids systemic inflammatory response syndrome, capillary leakage and multiple organ failure.

Keywords:

transposition of the great arteries

aortic arch reconstruction

antegrade cerebral perfusion

Authors:

Boriskov M.V.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Efimochkin G.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Karakhalis N.B.

Kuban State Medical University;
Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Shadrin A.K.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Vanin O.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Tkachenko I.A.

Research Institute — Ochapovsky Regional Clinical Hospital No. 1

Iofe E.I.

Kuban State Medical University

Pereverzeva A.A.

Kuban State Medical University

Received:

07.03.2022

Accepted:

10.04.2022

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References:

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