[Serious complication of retrograde perfusion during repair of dissecting aneurysm: compression of the true lumen].
Between 1982 and 1990, 61 patients underwent the repair of dissecting aneurysm. Retrograde perfusion from the unilateral femoral artery were performed for 56 patients and the selective false lumen perfusion occurred in 3 patients. As for those 3 patients, compression of the true lumen and insufficient cerebral perfusion were suspected. Selective cerebral perfusion and antegrade systemic perfusion from the ascending aortic graft were performed. Although 2 patients took uneventful postoperative courses, 1 patient died of massive brain damage. It is very important to accomplish the means to maintain adequate cerebral circulation as soon as possible toward this fetal complication.
Endo
M
M
Department of Thoracic and Cardiovascular Surgery, Tohoku University.
Tabayashi
K
K
Sai
S
S
Ito
T
T
Komatsu
T
T
Yoshida
S
S
Iguchi
A
A
Miura
M
M
Shoji
Y
Y
Ohmi
M
M
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000601:surgery*; D002560:Cerebrovascular Circulation; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D010477:Perfusion / Q000009:adverse effects* / Q000379:methods