Total aortic arch replacement using hypothermic circulatory arrest with antegrade selective cerebral perfusion: are there cerebral deficits other than frank stroke?

General Thoracic and Cardiovascular Surgery
Kotaro HiraokaYoshikatsu Saiki

Abstract

It is controversial whether cerebral deficits other than frank stroke develop after total aortic arch replacement using hypothermic circulatory arrest (HCA) with antegrade selective cerebral perfusion (SCP). We investigated neuropsychological functions in patients who received total aortic arch replacement using deep HCA with SCP. Eleven patients who underwent elective total arch replacement using deep HCA with antegrade SCP were included. Cognitive functions of the patients were evaluated at baseline, and 3 weeks and 6 months after the aortic arch surgery. The performance of cognitive tests did not change 3 weeks after surgery, except for the attention/calculation task of the Mini-Mental State Examination (MMSE). Six months after surgery, the decline in score for the attention/calculation task in the MMSE had reversed and the score for this task as well as for all other tests had returned to baseline levels. Long-lasting cognitive deficits other than frank stroke may not develop after total arch replacement surgery using deep HCA with SCP.

References

Nov 1, 1975·Journal of Psychiatric Research·M F FolsteinP R McHugh
Dec 1, 1989·Journal of Clinical and Experimental Neuropsychology·J R CrawfordJ W Moore
Dec 31, 1998·The Journal of Thoracic and Cardiovascular Surgery·D L ReichR B Griepp
Apr 25, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·K M DosscheF G Waanders
Dec 6, 2000·Brain and Cognition·S L SchmidtY Abreu-Villaça
Mar 10, 2001·The Journal of Thoracic and Cardiovascular Surgery·R B Griepp
Sep 11, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Christian HaglAxel Haverich
Jan 1, 1965·Archives of General Psychiatry·W W ZUNG
Dec 14, 2004·The Clinical Neuropsychologist·Simon LemayPierre-Luc Gilbert Tremblay

❮ Previous
Next ❯

Citations

Oct 23, 2012·General Thoracic and Cardiovascular Surgery·Norihiko Shiiya
Oct 23, 2015·Cardiovascular Psychiatry and Neurology·Nikil PatelEmma M L Chung

❮ Previous
Next ❯

Related Concepts

Related Feeds

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Related Papers

The Annals of Thoracic Surgery
Derek R Brinster
The Annals of Thoracic Surgery
Gilles D TouatiHenri J Poulain
The Annals of Thoracic Surgery
Takeshi MiyairiHajime Sato
© 2021 Meta ULC. All rights reserved