Isolated cerebral perfusion for intraoperative cerebral malperfusion in type A aortic dissection |
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Authors: | Fukada Johji Morishita Kiyofumi Kawaharada Nobuyoshi Yamauchi Akihiko Hasegawa Takeo Satsu Takuma Abe Tomio |
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Institution: | Department of Cardiothoracic Surgery, Sapporo Medical University School of Medicine, South-1, West-12, Chuo-ku, Sapporo 0608543, Japan atsfukada@yahoo.co.jp |
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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. |
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Keywords: | 26 |
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