Perfusion of brain and viscera using modified retrograde cerebral perfusion for aortic arch surgery

Anterograde or retrograde cerebral perfusion can protect the brain from ischemic injury during hypothermic circulatory arrest (HCA), but neither type of perfusion provides blood flow to the abdominal viscera. Here, we report a modified retrograde cerebral perfusion (RCP) technique in which we tethered both superior and inferior venae cavae with bands around the cannula and clamped the distal ends of the drainage tubes of both venae cavae. Modified RCP may provide greater blood flow to the brain and lower body than conventional RCP during HCA in hemiarch surgery.