Related Experiment Video
Updated: Mar 2, 2026
Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
Published on: August 15, 2022
Transapical aortic perfusion using a deep hypothermic procedure to prevent dissecting lung injury during re-do
Yuya Kise1, Yukio Kuniyoshi2, Mizuki Ando2
1Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, University of the Ryukyus, Ryukyus, 207 Uehara, Nishihara, Okinawa, 903-0215, Japan. yuya1022@med.u-ryukyu.ac.jp.
Background:
Avoiding various complications is a challenge during re-do thoracoabdominal aneurysm surgery.
Case Presentation:
A 56-year-old man had undergone surgery for type I aortic dissection four times. The residual thoracoabdominal aortic aneurysm that had severe adhesions to lung parenchyma was resected. Since the proximal anastomotic site was buried in lung parenchyma, deep hypothermia was essential to avoid lung dissection and to protect the spinal cord during the proximal anastomosis. The deep hypothermia was induced with bilateral infusion of cardiopulmonary bypass by femoral artery cannulation for the lower body and by transapical cannulation for the upper body because of easy access. There was no hemorrhagic tendency after deep hypothermic bypass. The patient was discharged uneventfully.
Conclusions:
For upper body perfusion, transapical aortic cannulation was a simple and effective procedure during left thoracotomy.
