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Updated: Jul 8, 2025
Establishment of Deep Hypothermic Circulatory Arrest in Rats
Published on: December 16, 2022
Persistent left superior vena cava in right hemiarch replacement under deep hypothermic circulatory arrest: A case
Ze-Yu Mi1, Gang He1, Hong-Li Gao2
1Department of Cardiac Surgery, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China.
Background:
Persistent left superior vena cava (PLSVC), a relatively rare thoracic vascular malformation, can inconvenience perfusionists and operators when encountered during deep hypothermic circulatory arrest (DHCA).
Case Summary:
Herein, we describe the case of a patient with concurrent giant aortic arch aneurysm, aortic stenosis, and PLSVC. To treat these conditions, we performed right hemiarch and aortic valve replacements under DHCA. Notably, we applied "bilateral superior vena cava retrograde cerebral perfusion (RCP)" for cerebral protection, which significantly optimized the surgical procedure and reduced the risk of postoperative complications. The patient was discharged 14 d after surgery with no complications.
Conclusion:
Surgical intervention for PLSVC under DHCA can be performed using the bilateral superior vena cava RCP approach.
