[A case of Cabrol's procedure in which selective cerebral perfusion was necessitated].
A 69-year-old man underwent Cabrol's procedure for annuloaortic ectasia and complicated multiple cerebral infarction. Preoperative CT scan showed atherosclerotic changes from the aortic arch to descending aorta. During extracorporeal circulation, arterial cannulation was made through left subclavian artery to prevent cerebral infarction due to detouched atheroma from the descending aorta. Intraoperatively, the ascending aorta was also atheromatous and ulcerative. In this case, cerebral infarction was most likely due to detouched atheroma from the aortic arch in retrograde blood flow during extracorporeal circulation. To prevent this complication, selective cerebral perfusion during extracorporeal circulation should have been selected.
Terada
Y
Y
Institute of Clinical Medicine, University of Tsukuba, Japan.
Sakakibara
K
K
Ohkawa
S
S
Hattori
T
T
Asakura
T
T
Yoshimura
T
T
Yamabuki
K
K
Atsumi
N
N
Zikuya
T
T
Mitsui
T
T
D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D002544:Cerebral Infarction / Q000209:etiology; D002560:Cerebrovascular Circulation; D005112:Extracorporeal Circulation / Q000379:methods*; D006801:Humans; D008297:Male