Aortic atresia and type B interrupted aortic arch: diagnosis by physiologic cerebral monitoring.
Physiologic cerebral monitoring has become an important part of our cardiovascular surgical unit. We recently encountered an unusual variant of aortic atresia that was first suggested by physiologic cerebral monitoring and required modification of our operative technique. We describe and discuss the anatomy, its translation into cerebral monitor findings, and how we modified our operative technique.
Dibardino
Daniel J
DJ
Division of Congenital Heart Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA. djd@bcm.tmc.edu
Heinle
Jeffrey S
JS
Andropoulos
Dean A
DA
Kerr
Caroline D
CD
Morales
David L S
DL
Fraser
Charles D
CD
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D002560:Cerebrovascular Circulation; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D016343:Monitoring, Intraoperative; D016896:Treatment Outcome; D017585:Ultrasonography, Doppler, Transcranial