TY - JOUR
T1 - Modified Gott shunt to avoid left ventricular overload and cerebral hypoperfusion during distal aortic arch surgery
AU - Gelsomino, Sandro
AU - Bidar, Elham
AU - Jainandunsing, Jayant S.
AU - Tielliu, Ignace F.J.
AU - Lorusso, Roberto
AU - Johnson, Daniel
AU - Maessen, Jos G.
AU - Natour, Ehsan
PY - 2019/3
Y1 - 2019/3
N2 - We present a simple solution to address—at the same time—the issue of spinal perfusion, overload on the left ventricle, and brain perfusion during complex distal arch and descending aortic surgery. It is a modification of a passive Gott shunt that includes an extra 10-mm tube interposed between the side port of the ascending aorta cannula and the left subclavian artery. This technique may represent an extra option for surgeons during complex aortic surgery to maintain satisfactory distal perfusion, to reduce the cardiac load, and to provide adequate perfusion to the brain.
AB - We present a simple solution to address—at the same time—the issue of spinal perfusion, overload on the left ventricle, and brain perfusion during complex distal arch and descending aortic surgery. It is a modification of a passive Gott shunt that includes an extra 10-mm tube interposed between the side port of the ascending aorta cannula and the left subclavian artery. This technique may represent an extra option for surgeons during complex aortic surgery to maintain satisfactory distal perfusion, to reduce the cardiac load, and to provide adequate perfusion to the brain.
KW - Aorta
KW - Aortic arch
KW - Aneurysm
KW - Shunt
KW - Perfusion
UR - http://www.scopus.com/inward/record.url?scp=85062600082&partnerID=8YFLogxK
U2 - 10.1016/j.jvscit.2018.11.005
DO - 10.1016/j.jvscit.2018.11.005
M3 - Article
SN - 2468-4287
VL - 5
SP - 65
EP - 67
JO - Journal of Vascular Surgery Cases and Innovative Techniques
JF - Journal of Vascular Surgery Cases and Innovative Techniques
IS - 1
ER -