Aortic arch aneurysm repair using selective cerebral perfusion.
Seventy-seven patients underwent aortic arch aneurysm repair using selective cerebral perfusion from January 1987 to August 1992. Early and long-term results and preoperative and postoperative cerebral function were evaluated. Cerebral function was assessed by the mini mental state-Himeji test and the Wechsler adult intelligence scale. Thirty-six patients had true aneurysms, and 41 had dissection. Hospital mortality for true and dissecting aneurysms was 19.4% and 7.3%, respectively. The 5-year actuarial survival rates for true and dissecting aneurysms were 59.0% and 65.3%, respectively (not significant). There were no significant differences in test scores before or after operation. Repair or replacement of the aortic arch using selective cerebral perfusion is a safe procedure with acceptable hospital mortality.
Tabayashi
K
K
Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Miyagi, Japan.
Ohmi
M
M
Togo
T
T
Miura
M
M
Yokoyama
H
H
Akimoto
H
H
Murata
S
S
Ohsaka
K
K
Mohri
H
H
D000784:Aortic Dissection / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000601:surgery*; D002560:Cerebrovascular Circulation; D005112:Extracorporeal Circulation; D006324:Heart Arrest, Induced; D006801:Humans; D007361:Intelligence Tests; D008609:Mental Status Schedule; D010477:Perfusion; D011183:Postoperative Complications; D012189:Retrospective Studies