Total Aortic Arch Replacement: Case Report of the first successful total arch replacement in Nepal and Review of contemporary techniques in arch surgery

Authors

  • Rabindra Timala Shahid Gangalal National Heart Centre, Kathmandu, Nepal https://orcid.org/0000-0002-4907-4743
  • Ashish Amatya Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Nishes Basnet Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Rupak Pradhan Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Dikshya Joshi Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Marisha Aryal Shahid Gangalal National Heart Centre, Kathmandu, Nepal
  • Navin Gautam Shahid Gangalal National Heart Centre, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/njh.v18i2.40411

Keywords:

Deep hypothermic circulatory arrest, Retrograde cerebral perfusion, Selective antegrade cerebral perfusion, Branched aortic graft, Total aortic arch replacement

Abstract

Aortic arch replacement is formidable cardiac surgery that is fraught with complications like brain injury, coagulopathy along with high mortality. Over the past several years, various techniques like deep hypothermic circulatory arrest, retrograde cerebral perfusion, and selective antegrade cerebral perfusion along with branched graft techniques have been developed with better early outcomes. We share our experience of successful replacement of ascending and total aortic arch in a 60 years old female, who presented with ascending and aortic arch aneurysm.

Downloads

Download data is not yet available.
Abstract
98
PDF
233

Author Biographies

Rabindra Timala, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiac Surgery

Ashish Amatya, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Anaesthesia

Nishes Basnet, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiac Surgery

Rupak Pradhan, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiac Surgery

Dikshya Joshi, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiac Surgery

Marisha Aryal, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiac Surgery

Navin Gautam, Shahid Gangalal National Heart Centre, Kathmandu, Nepal

Department of Cardiac Surgery

Downloads

Published

2021-11-23

How to Cite

Timala, R., Amatya, A., Basnet, N., Pradhan, R., Joshi, D., Aryal, M., & Gautam, N. (2021). Total Aortic Arch Replacement: Case Report of the first successful total arch replacement in Nepal and Review of contemporary techniques in arch surgery. Nepalese Heart Journal, 18(2), 73–76. https://doi.org/10.3126/njh.v18i2.40411

Issue

Section

Case Reports