Isolated cerebral perfusion for intraoperative cerebral malperfusion in type A aortic dissection.
case_report · Level V
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- Record sourced from PubMed, PMID 12537227.
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Abstract
Cerebral malperfusion due to expansion of a false lumen can occur acutely during aortic repair when retrograde femoral perfusion is initiated. We detected this catastrophe by a rapid decrease in regional cerebral oxygenation and successfully treated it by immediate isolation of the cerebral circulation from the systemic circulation. The surgical management, including the above technique, for this rare event is described.
Medical subject headings
- Aortic Dissection
- Aortic Aneurysm
- Cerebrovascular Disorders