Hypothermic Circulatory Arrest in Adult Aortic Arch Surgery: A Review of Hypothermic Circulatory Arrest and its Anesthetic Implications

Samit Ghia, Andre Savadjian, Da Wi Shin, Gabriele Diluozzo, Menachem M. Weiner, Himani V. Bhatt

Research output: Contribution to journalReview articlepeer-review

Abstract

Diseases affecting the aortic arch often require surgical intervention. Hypothermic circulatory arrest (HCA) enables a safe approach during open aortic arch surgeries. Additionally, HCA provides neuroprotection by reducing cerebral metabolism and oxygen requirements. However, HCA comes with significant risks (eg, neurologic dysfunction, stroke, and coagulopathy), and the cardiac anesthesiologist must completely understand the surgical techniques, possible complications, and management strategies.

Original languageEnglish
Pages (from-to)2634-2645
Number of pages12
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume37
Issue number12
DOIs
StatePublished - Dec 2023

Keywords

  • aortic surgery
  • deep hypothermic circulatory arrest

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