Surgical approach in massive intraoperative atherosclerotic embolism.
We describe a case of massive embolization of atherosclerotic material during aortic cannulation and the surgical approach chosen to treat it, that is, retrograde cerebral perfusion and subtotal arch replacement in deep hypothermic circulatory arrest.
Demertzis
Stefanos
S
Department of Cardiac Surgery, Cardiocentro Ticino, Lugano, Switzerland. demertzis@cardiocentro.org
Trunfio
Rafael
R
von Rotz
Fredi
F
Siclari
Francesco
F
D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery; D050197:Atherosclerosis / Q000150:complications*; D001281:Atrial Fibrillation / Q000150:complications; D019917:Blood Vessel Prosthesis Implantation; D002404:Catheterization / Q000009:adverse effects; D002405:Catheterization, Central Venous; D002408:Catheters, Indwelling; D002544:Cerebral Infarction / Q000517:prevention & control*; D050792:Circulatory Arrest, Deep Hypothermia Induced; D006324:Heart Arrest, Induced; D006344:Heart Septal Defects, Atrial / Q000601:surgery; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D020766:Intracranial Embolism / Q000209:etiology / Q000601:surgery*; D007431:Intraoperative Complications / Q000209:etiology / Q000517:prevention & control* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010477:Perfusion / Q000379:methods*; D014683:Vena Cava, Superior