title: Surgical approach in massive intraoperative atherosclerotic embolism.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Cardiocentro Ticino, Lugano, Switzerland. demertzis@cardiocentro.org
authors.forename: Stefanos
authors.initials: S
authors.lastname: Demertzis
authors.forename: Rafael
authors.initials: R
authors.lastname: Trunfio
authors.forename: Fredi
authors.initials: F
authors.lastname: von Rotz
authors.forename: Francesco
authors.initials: F
authors.lastname: Siclari
mesh_terms: 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