Case presentation A 64-year-old man was admitted to the hospital after being diagnosed with acute type A aortic dissection. His vital signs remained stable while on nicardipine, and the echocardiography findings were unremarkable. Investigations and surgery procedure An emergency total arch repair was performed using a frozen elephant trunk technique. Cardiopulmonary bypass (CPB) using bicaval drainage and left subclavian artery perfusion was established.
An antegrade infusion from the ascending aorta was performed for cardioplegia, and retrograde infusion from the coronary sinus, with the cannula inserted from the right atrial appendage. The total cardioplegia dose was 20 ml/kg. As the patient weighed 70 kgs, the total cardioplegia dose administered was 1400 ml. Read more at: https://mariner.docplexus.com/#/app/posts/31d5b583-0e32-438f-9623-a266d05e8990 Copyright 2021 © Docplexus
