CONTINUOUS RETROGRADE CEREBRAL PERFUSION AIDS REPAIR OF AORTIC LACERATION DURING STERNAL REENTRY

Authors
SAKAI T MIKI S UEDA Y TAHATA T OGINO H MORIOKA K
Citation
T. Sakai et al., CONTINUOUS RETROGRADE CEREBRAL PERFUSION AIDS REPAIR OF AORTIC LACERATION DURING STERNAL REENTRY, The thoracic and cardiovascular surgeon, 43(2), 1995, pp. 117-119
Citations number
9
Categorie Soggetti
Cardiac & Cardiovascular System","Respiratory System",Surgery
Journal title
The thoracic and cardiovascular surgeon → ACNP
ISSN journal
01716425
Volume
43
Issue
2
Year of publication
1995
Pages
117 - 119
Database
ISI
SICI code
0171-6425(1995)43:2<117:CRCPAR>2.0.ZU;2-1
Abstract
We successfully repaired an anticipated large laceration of the ascend ing aorta occurring during sternal re-entry in a 68-year-old woman und ergoing replacement of a prosthetic aortic valve. Cerebral protection was ensured by using continuous retrograde cerebral perfusion via femo ro-femoral bypass with deep hypothermia. The cooling time was 20 minut es. The minimum nasopharyngeal temperature was 15 degrees C and the du ration of the retrograde perfusion was 11 minutes at a rate of 600 ml per minute. The postoperative course was uneventful and no neurologica l deficits occurred.