Cerebral protection during aortic arch reconstruction in newborns

Results of surgical treatment in 31 patients with different congenital aortic arch pathologies are presented. Two intraoperative methods of cerebral protection: deep hypothermia (n = 15), antegrade perfusion (n = 16) were used over a period from 2008 to 2012. Hospital mortality and neurologic compli...

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Published inPatologii͡a︡ krovoobrashchenii͡a︡ i kardiokhirurgii͡a Vol. 17; no. 2; pp. 4 - 7
Main Authors Sinelnikov, Yu. S., Kornilov, I. A., Matyushov, V. N., Ivantsov, S. M., Gorbatykh, Yu. N., Soynov, I. A., Kshanovskaya, M. S., Vasyunin, R. L.
Format Journal Article
LanguageEnglish
Published Meshalkin National Medical Research Center 10.10.2015
Subjects
DEEP HYPOTHERMIA
АНТЕГРАДНАЯ СЕЛЕКТИВНАЯ ПЕРФУЗИЯ ГОЛОВНОГО МОЗГА
РОЖДЕННАЯ ПАТОЛОГИЯ ДУГИ АОРТЫ
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Summary:Results of surgical treatment in 31 patients with different congenital aortic arch pathologies are presented. Two intraoperative methods of cerebral protection: deep hypothermia (n = 15), antegrade perfusion (n = 16) were used over a period from 2008 to 2012. Hospital mortality and neurologic complications in the antegrade perfusion group were significantly lower than those in the deep hypothermia group. However, a high rate of renal complications requires further investigation of this problem, identification of possible causes and improvement of the method.
ISSN:1681-3472
2500-3119
DOI:10.21688/1681-3472-2013-3-4-7