Three-region perfusion strategy for aortic arch reconstruction in the norwood

Alexandros N. Karavas, Benjamin W. Deschner, John W. Scott, Bret A. Mettler, David P. Bichell

Research output: Contribution to journalArticlepeer-review


We describe a new method of selective regional perfusion during arch reconstruction in the Norwood procedure. The strategy involves direct sequential perfusion of the coronary and splanchnic circulations coupled with continuous cerebral perfusion, while repairing the arch in a distal to proximal fashion. This technique provides the potential for decreased coronary and splanchnic ischemic times, which in combination with continuous selective cerebral perfusion may further allow for warmer operating temperatures and decreased overall bypass times.

Original languageEnglish (US)
Pages (from-to)1138-1140
Number of pages3
JournalAnnals of Thoracic Surgery
Issue number3
StatePublished - Sep 2011
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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