Retrograde cerebral perfusion with hypothermic circulatory arrest in a child.
This report describes a 4-year-old boy who presented with infective endocarditis involving the ascending aorta and the arch vessels, with supravalvular aortic stenosis as the underlying pathology. Operation was indicated because of the embolic potential of the vegetations inside the aorta. Retrograde cerebral perfusion was utilized in conjunction with hypothermic circulatory arrest, to flush particulate materials from the arch vessels during operation.
Acikel
U
U
Department of Cardiothoracic Surgery, Dokuz Eylul University Medical School, Izmir, Turkey. ugurlub@yahoo.com
Ugurlu
B S
BS
Karabay
O
O
Silistreli
E
E
Oto
O
O
D001024:Aortic Valve Stenosis / Q000150:complications / Q000601:surgery*; D002560:Cerebrovascular Circulation; D002675:Child, Preschool; D004697:Endocarditis, Bacterial / Q000150:complications / Q000601:surgery*; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male