Isolated cerebral perfusion for intraoperative cerebral malperfusion in type A aortic dissection.
Cerebral malperfusion due to expansion of a false lumen can occur acutely during aortic repair when retrograde femoral perfusion is initiated. We detected this catastrophe by a rapid decrease in regional cerebral oxygenation and successfully treated it by immediate isolation of the cerebral circulation from the systemic circulation. The surgical management, including the above technique, for this rare event is described.
Fukada
Johji
J
Department of Cardiothoracic Surgery, Sapporo Medical University School of Medicine, South-1, West-12, Chuo-ku, Sapporo 0608543, Japan atsfukada@yahoo.co.jp
Morishita
Kiyofumi
K
Kawaharada
Nobuyoshi
N
Yamauchi
Akihiko
A
Hasegawa
Takeo
T
Satsu
Takuma
T
Abe
Tomio
T
D000368:Aged; D000784:Aortic Dissection / Q000503:physiopathology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000503:physiopathology / Q000601:surgery*; D002560:Cerebrovascular Circulation / Q000502:physiology; D002561:Cerebrovascular Disorders / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007432:Intraoperative Period