Rapid diagnosis of cannula migration by cerebral oximetry in neonatal arch repair.
case_report · Level V
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Abstract
Although it has gained much interest in other surgical specialties, the application of near-infrared spectroscopy to assess cerebral perfusion during cardiac surgery is relatively new. Regional cerebral oxygen saturation (rSO2) is a function of cerebral oxygen supply and demand. Continuous monitoring of the rSO2 permits early detection of cerebral ischemia allowing for prompt intervention. The following is a description of a repair of truncus arteriosus with type A interrupted aortic arch during which continuous cerebral oximetry assisted with the positioning of the arterial cannula avoiding a prolonged episode of cerebral ischemia.
Medical subject headings
- Aorta, Thoracic
- Blood Gas Monitoring, Transcutaneous
- Catheterization
- Catheters, Indwelling
- Cerebrovascular Circulation
- Foreign-Body Migration
- Hypoxia-Ischemia, Brain
- Intraoperative Complications
- Monitoring, Intraoperative
- Oxyhemoglobins
- Spectroscopy, Near-Infrared
- Truncus Arteriosus, Persistent