Direct perfusion of the carotid artery in patients with brain malperfusion secondary to acute aortic dissection

General Thoracic and Cardiovascular Surgery
Yutaka OkitaHiroshi Tanaka

Abstract

Presenting our experience of direct perfusion of the carotid artery in patients with brain malperfusion secondary to acute aortic dissection. Among 381 patients who underwent aortic repair for acute type A aortic dissection from October 1999 to August 2017, brain malperfusion was recognized in 50 patients. Nine patients had direct perfusion of the right carotid artery in patients with brain malperfusion secondary to acute aortic dissection. Age at surgery was 65.7 ± 13.5 years and three patients were male. Preoperative consciousness level was alert in one patients, drowsy in six, and coma in two. Five patients had preoperative hemiplegia. All patients showed a blood pressure difference between the upper extremities and eight patients showed more than 15% difference of rSO2. Seven patients had a temporary external active shunt from the femoral artery to the right common carotid artery preoperatively. Two patients had direct perfusion to the right common carotid artery during cardiopulmonary bypass or in the intensive care unit after surgery because of a sudden decrease of rSO2 and cessation of carotid artery flow. Antegrade cerebral perfusion was used in all patients. Total arch replacement was performed in six patients and hemi...Continue Reading

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Citations

Aug 10, 2019·Current Opinion in Cardiology·Elizabeth L NortonBo Yang
Oct 2, 2020·Journal of Cardiac Surgery·Yutaka Okita, Kenji Okada
Dec 1, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Toshihito GomibuchiKenji Okada
Dec 31, 2020·Asian Cardiovascular & Thoracic Annals·Wahaj MunirBenjamin Adams
Jan 28, 2020·The Journal of Thoracic and Cardiovascular Surgery·Yuichi Ueda
Apr 3, 2021·General Thoracic and Cardiovascular Surgery·Kayo SugiyamaKatsuhiko Matsuyama
Oct 31, 2020·The Annals of Thoracic Surgery·Shinichi FukuharaBo Yang
Jul 30, 2021·Journal of Cardiac Surgery·Kenji Minatoya
Jul 28, 2020·Journal of Vascular Surgery Cases and Innovative Techniques·J Aaron BarnesDavid P Kuwayama

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