Continuous retrograde cerebral perfusion aids repair of aortic laceration during sternal re-entry

We successfully repaired an anticipated large laceration of the ascending aorta occurring during sternal re-entry in a 68-year old woman undergoing replacement of a prosthetic aortic valve. Cerebral protection was ensured by using continuous retrograde cerebral perfusion via femoro-femoral bypass wi...

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Bibliographic Details
Published inThe Thoracic and cardiovascular surgeon Vol. 43; no. 2; p. 117
Main Authors Sakai, T, Miki, S, Ueda, Y, Tahata, T, Ogino, H, Morioka, K
Format Journal Article
LanguageEnglish
Published Germany 01.04.1995
Subjects
Aged
Aorta - injuries
Aorta - surgery
Aortic Valve
Cardiopulmonary Bypass
Cerebrovascular Circulation
Female
Heart Arrest, Induced
Heart Valve Prosthesis - adverse effects
Heart Valve Prosthesis - methods
Humans
Hypothermia, Induced
Perfusion
Postoperative Complications - physiopathology
Postoperative Complications - surgery
Reoperation
Sternum - surgery
Tomography, X-Ray Computed
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Summary:We successfully repaired an anticipated large laceration of the ascending aorta occurring during sternal re-entry in a 68-year old woman undergoing replacement of a prosthetic aortic valve. Cerebral protection was ensured by using continuous retrograde cerebral perfusion via femoro-femoral bypass with deep hypothermia. The cooling time was 20 minutes. The minimum nasopharyngeal temperature was 15 degrees C and the duration of the retrograde perfusion was 11 minutes at a rate of 600 ml per minute. The postoperative course was uneventful and no neurological deficits occurred.
ISSN:0171-6425
DOI:10.1055/s-2007-1013783