Total aortic arch replacement under intermittent pressure-augmented retrograde cerebral perfusion.
Kitahori, Kawata, Takamoto et al. described the effectiveness of a novel protocol for retrograde cerebral perfusion that included intermittent pressure augmentation for brain protection in a canine model. Based on their report, we applied this novel technique clinically. Although the duration of circulatory arrest with retrograde cerebral perfusion was long, the patient recovered consciousness soon after the operation and had no neurological deficit. Near-infrared oximetry showed recovery of intracranial blood oxygen saturation every time the pressure was augmented.
Department of Cardiovascular Surgery, Kyorin University, Tokyo, Japan. kub@ks.kyorin-u.ac.jp
Hiroshi
H
Kubota
Kunihiko
K
Tonari
Hidehito
H
Endo
Hiroshi
H
Tsuchiya
Hideaki
H
Yoshino
Kenichi
K
Sudo
D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D001921:Brain / Q000098:blood supply*; D002545:Brain Ischemia / Q000517:prevention & control*; D002560:Cerebrovascular Circulation; D006324:Heart Arrest, Induced; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood
D010100:Oxygen