Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection

A 49-year-old man with drowsy mentality was diagnosed with acute type A aortic dissection; he underwent an emergency operation. When selective antegrade cerebral perfusion was initiated, the right regional cerebral oxygen saturation (rSO(2)) decreased as compared to the left one. Adequate blood flow...

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Detalles Bibliográficos
Autores principales: Kim, Seon Hee, Song, Seunghwan, Kim, Sang-pil, Lee, Jonggeun, Lee, Han Cheol, Kim, Eun Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society for Thoracic and Cardiovascular Surgery 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4000878/
https://www.ncbi.nlm.nih.gov/pubmed/24782971
http://dx.doi.org/10.5090/kjtcs.2014.47.2.163
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author Kim, Seon Hee
Song, Seunghwan
Kim, Sang-pil
Lee, Jonggeun
Lee, Han Cheol
Kim, Eun Soo
author_facet Kim, Seon Hee
Song, Seunghwan
Kim, Sang-pil
Lee, Jonggeun
Lee, Han Cheol
Kim, Eun Soo
author_sort Kim, Seon Hee
collection PubMed
description A 49-year-old man with drowsy mentality was diagnosed with acute type A aortic dissection; he underwent an emergency operation. When selective antegrade cerebral perfusion was initiated, the right regional cerebral oxygen saturation (rSO(2)) decreased as compared to the left one. Adequate blood flow was perfused through the branch of the artificial graft, after distal anastomosis, but the right rSO(2) did not recover. Angiography revealed another intimal tear on the right common carotid artery. A stent was then inserted. The right rSO(2) promptly increased to the same level as that of the left one. The patient was discharged without any neurologic complications.
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spelling pubmed-40008782014-04-29 Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection Kim, Seon Hee Song, Seunghwan Kim, Sang-pil Lee, Jonggeun Lee, Han Cheol Kim, Eun Soo Korean J Thorac Cardiovasc Surg Case Report A 49-year-old man with drowsy mentality was diagnosed with acute type A aortic dissection; he underwent an emergency operation. When selective antegrade cerebral perfusion was initiated, the right regional cerebral oxygen saturation (rSO(2)) decreased as compared to the left one. Adequate blood flow was perfused through the branch of the artificial graft, after distal anastomosis, but the right rSO(2) did not recover. Angiography revealed another intimal tear on the right common carotid artery. A stent was then inserted. The right rSO(2) promptly increased to the same level as that of the left one. The patient was discharged without any neurologic complications. Korean Society for Thoracic and Cardiovascular Surgery 2014-04 2014-04-10 /pmc/articles/PMC4000878/ /pubmed/24782971 http://dx.doi.org/10.5090/kjtcs.2014.47.2.163 Text en © The Korean Society for Thoracic and Cardiovascular Surgery. 2014. All right reserved. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Seon Hee
Song, Seunghwan
Kim, Sang-pil
Lee, Jonggeun
Lee, Han Cheol
Kim, Eun Soo
Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection
title Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection
title_full Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection
title_fullStr Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection
title_full_unstemmed Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection
title_short Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection
title_sort hybrid technique to correct cerebral malperfusion following repair of a type a aortic dissection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4000878/
https://www.ncbi.nlm.nih.gov/pubmed/24782971
http://dx.doi.org/10.5090/kjtcs.2014.47.2.163
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