title: Time limitation of postural retrograde cerebral perfusion during cerebral hypothermic circulatory arrest. A report of an unsuccessful case.
abstract: We report an unsuccessful case with ruptured aortic arch aneurysm using deep hypothermia with postural retrograde cerebral perfusion by simply elevating central venous pressure in the Trendelenburg position. Ninety-three minutes of cerebral circulatory arrest by this method caused irreversible global cerebral damage. Ninety minutes may be over the time limit of this method.
authors.affiliation: Department of Thoracic Surgery, Juntendo University, Tokyo, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Sasaguri
authors.forename: S
authors.initials: S
authors.lastname: Yamamoto
authors.forename: Y
authors.initials: Y
authors.lastname: Hosoda
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001019:Aortic Rupture / Q000601:surgery; D002545:Brain Ischemia / Q000209:etiology*; D002560:Cerebrovascular Circulation; D006324:Heart Arrest, Induced / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007036:Hypothermia, Induced / Q000009:adverse effects* / Q000379:methods; D008297:Male; D010477:Perfusion / Q000379:methods; D011183:Postoperative Complications / Q000209:etiology*; D011187:Posture; D013997:Time Factors