title: Insufficient unilateral cerebral perfusion during emergent aortic arch surgery.
abstract: A rare case of insufficient right-sided unilateral cerebral perfusion during emergent aortic arch replacement in a patient with an acute aortic dissection is reported. On the basis of intraoperative monitoring using near-infrared spectroscopy, the insufficient perfusion of the contralateral hemisphere was detected and the bilateral perfusion was performed, which led to normalization of cerebral perfusion and an uncomplicated neurological outcome.
authors: Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany. p.urbanski@kardiochirurg.de
authors: Paul P
authors: PP
authors: Urbanski
authors: Jörg
authors: J
authors: Babin-Ebell
authors: Steffen
authors: S
authors: Fröhner
authors: Anno
authors: A
authors: Diegeler
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002545:Brain Ischemia / Q000503:physiopathology / Q000517:prevention & control*; D002560:Cerebrovascular Circulation / Q000502:physiology*; D005260:Female; D006801:Humans; D016343:Monitoring, Intraoperative; D014656:Vascular Surgical Procedures