Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery

Replacement of ascending part and arch of aorta under circulation arrestwith retrograde cerebral perfusion

Authors: Kh.K. Abralov, A.G. Erstekis, A.B. Alimov, U.A. Murotov

Academician V. Vakhidov Republican Specialized Center of Surgery, ul. Farkhadskaya, 10, Tashkent, 700115, Uzbekistan

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Link: Clinical Physiology of Blood Circulaiton. 2015; (): -

Quote as: Abralov Kh.K., Erstekis A.G., Alimov A.B., Murotov U.A.. Replacement of ascending part and arch of aorta under circulation arrest with retrograde cerebral perfusion. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2015; 2: 36-41 (in Russ.)

Full text:  


In this case message, we would like to report about our successful experience of surgical repair at patient with aneurysm of ascending part and arch of aorta, which undergone replacement of ascending part and arch of aorta under circulation arrest with retrograde cerebral perfusion via superior vena cava. Despite on fact that this case is single in our practice – it is early make some generalized conclusions, but the successful result of the performed procedure allows us to conclude that applied technique of CPB with circulation arrest and retrograde perfusion via superior vena cava is able to provide good results of surgical repair of dissected aortic aneurysm.


  1. Darrin W.D., Hallett J., Schaff H., Gayari M., Ilstrup D., Melton L. III. Improved prognosis of thoracic aortic aneurysms. JAMA. 1998; 280: 1926–9.
  2. Zehr K., Orszulak T., Mullany C., Matloobi A., Danielson R., Schaff H. Surgery for aneurysm of the aortic root: a 30-year experience. Circulation. 2004; 110: 1364–71.
  3. Juvonen T., Ergin M.A., Galla J.D., Lansman S.L., Nguyen K.H., Mc Cullough J.N. et al. Prospective study of the natural history of thoracic aortic aneurysms. Ann. Thorac. Surg. 1997; 63: 1533–45.
  4. Anagnostopoulos C.E. Acute aortic dissection. Baltimore: University Park Press; 1975.
  5. Fuster V., Halperin J.L. Aortic dissection: a medical perspective. J. Card. Surg. 1994; 9: 713–28.
  6. Elefteriades J. Natural history of thoracic aortic aneurysm: indications for surgery, and surgical versus nonsurgical risks. Ann. Thorac. Surg. 2002; 74: S1877–80.
  7. DeBakey M.E., Henly W.S., Cooley D.A., Morris G.C. Jr, Crawford E.S., Beall A.C. Jr. Surgical management of dissecting aneurysms of the aorta. J. Thorac. Cardiovasc. Surg. 1965; 49: 130–49.
  8. Mault J., Ohtake S., Klingensmith M., Heinle J., Greeley W., Ungerleider R. Cerebral metabolism and circulatory arrest: effects of duration and strategies for protection. Ann. Thorac. Surg. 1993; 1993: 57–64.
  9. Boeckxstans C.J., Fleming W.J. Retrograde cerebral perfusion does not protect the brain in non-human primates. Ann. Thorac. Surg. 1995; 60: 319.
  10. Moon M.R., Sundt T.M. 3rd. Influence of retrograde cerebral perfusion during aortic arch procedures. Ann. Thorac. Surg. 2002; 74: 426–31.

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