Double Arterial Cannulation in the Critical Management of Neonatal Aortic Arch Obstruction With Closed Ductus Arteriosus. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Kulyabin, Yuriy Y.; Gorbatykh, Yuriy N.; Soynov, Ilya A.; Nichay, Nataliya R.; Zubritskiy, Alexey V.; Bogachev-Prokophiev, Alexander V.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 10:Issue 1(2019)
• Page Start: 105
• Page End: 108
• Publication Date: 2019-01
• Subjects: interrupted aortic arch -- congenital heart surgery -- multiple organ failure -- renal failure; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135118790944
• Languages: English
• ISSNs: 2150-1351

Abstract

The neonatal management of critical aortic arch obstruction in association with an arterial duct that remains closed or significantly constricted requires urgent surgical repair, with a postoperative focus on resolving the impaired function of compromised organs. Here, we present two neonatal cases illustrating the use of the dual arterial cannulation perfusion method in the complete repair of interrupted aortic arch and critical coarctation of the aorta with nonfunctional ductus arteriosus. We suggest that dual arterial cannulation, which provides total body perfusion (with the exception of cardiac perfusion during cardioplegic arrest of the heart), may be a good alternative to other perfusion strategies in cases of absent ductal blood flow, as this method allowed us to avoid the further development of severe multiple organ failure.