title: Transcranial Doppler Sonography for Optimization of Cerebral Perfusion in Aortic Arch Operation.
abstract: An open operation on the aortic arch is a complex procedure that requires not only surgical expertise but also meticulous management to ensure excellent outcomes. In recent years, the procedure has often been performed with the patient under circulatory arrest, with antegrade cerebral perfusion. With such a strategy, efficient monitoring to ensure adequate cerebral perfusion is essential. Here we describe a case of Stanford type A aortic dissection repair in which transcranial Doppler sonography was used as an excellent monitoring tool to allow visualization of cerebral flow and the online status of perfusion, providing instant feedback to allow changes in strategy to optimize inadequate cerebral perfusion.
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden University of Technology, Dresden, Germany. Electronic address: tamer_ghazy@hotmail.com.
authors.forename: Tamer
authors.initials: T
authors.lastname: Ghazy
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden University of Technology, Dresden, Germany.
authors.forename: Ayham
authors.initials: A
authors.lastname: Darwisch
authors.affiliation: Department of Anesthesia, Dresden Heart Centre University Hospital, Dresden University of Technology, Dresden, Germany.
authors.forename: Torsten
authors.initials: T
authors.lastname: Schmidt
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden University of Technology, Dresden, Germany.
authors.forename: Zuzana
authors.initials: Z
authors.lastname: Fajfrova
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden University of Technology, Dresden, Germany.
authors.forename: Claudia
authors.initials: C
authors.lastname: Zickmüller
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden University of Technology, Dresden, Germany.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Masshour
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden University of Technology, Dresden, Germany.
authors.forename: Klaus
authors.initials: K
authors.lastname: Matschke
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre University Hospital, Dresden University of Technology, Dresden, Germany.
authors.forename: Utz
authors.initials: U
authors.lastname: Kappert
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001783:Blood Flow Velocity; D002560:Cerebrovascular Circulation / Q000502:physiology*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods*; D020521:Stroke / Q000517:prevention & control*; D014057:Tomography, X-Ray Computed; D017585:Ultrasonography, Doppler, Transcranial / Q000379:methods*; D014656:Vascular Surgical Procedures / Q000379:methods*