Deep hypothermic circulatory arrest selective cerebral perfusion in a small weight infants and young children a reconstruction of the aortic arch.docVIP

 PAGE \* MERGEFORMAT 16 Deep hypothermic circulatory arrest selective cerebral perfusion in a small weight infants and young children a reconstruction of the aortic arch Authors: LIU Rui-fang, Mouna, Xingjiadu Lin, NI Hong, Yang Jing, Lau Mee, Gong Cheng, Ji-Bing Yang [Abstract] Objective To summarize the deep hypothermic circulatory arrest (deep hypothermia circulatory arrest, DHCA) with selective cerebral perfusion (selective cerebral perfusion, SCP) technology in a small weight infants and young children a reconstruction of the aortic arch in the process of the brain protective effect. Methods A retrospective analysis of Beijing Anzhen Hospital pediatric cardiac surgery in January 2007 to July 2008 for completion of the 15 cases of 8 kg the following line in a reconstruction of the aortic arch in children with clinical data. -Month-old children with 1.2 ~ 21 (6.1 ± 5.2) months, weighing 4 ~ 8 (5.9 ± 1.4) kg. All patients were progressively cooled to nasopharyngeal temperature temperature of 18 ℃ ~ 20 ℃ , rectal temperature dropped to 19 ℃ ~ 22 ℃ , the reconstruction process in the aortic arch using DHCA, through the innominate artery for SCP (25 ~ 30 ml / kg) in vitro circulation (extracorporeal circulation, ECC) management methods. Myocardial protection have adopted a one-time low-temperature Const organ protective solution (HTK solution). ECC used before washing blood machine (cell saver) blood, as well as ECC in dealing with the application of conventional ultrafiltration (conventional ultrafiltration, CUF) with modified ultrafiltration (modified ultrafiltration, MUF) method. Results There was no group with the ECC-related neurological complications. 2 patients died, 1 patient died nine days after the operation a serious lung infection, 1 case in the other after 16 d died of severe left ventricular failure. ECC time of 116 ~ 591 (231.5 ± 127.4) min, aortic cross-clamping time of 25 ~ 258 (103.5 ± 77.0) min, SCP time, 20 ~ 80 (32.6 ± 18.4) min, au