Aortic arch aneurysm repair using selective cerebral perfusion

• Published in: The Annals of thoracic surgery Vol. 57; no. 5; pp. 1305 - 1310
• Main Authors: Tabayashi, Koichi, Ohmi, Mikio, Togo, Takao, Miura, Makoto, Yokoyama, Hitoshi, Akimoto, Hiroji, Murata, Sadayuki, Ohsaka, Kenji, Mohri, Hitoshi
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.1994; Elsevier Science
• Subjects: Aneurysm, Dissecting - surgery; Aortic Aneurysm, Thoracic - mortality; Aortic Aneurysm, Thoracic - surgery; Biological and medical sciences; Cerebrovascular Circulation; Extracorporeal Circulation; Heart Arrest, Induced; Humans; Intelligence Tests; Medical sciences; Mental Status Schedule; Perfusion; Postoperative Complications; Retrospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels; Human; Aneurysm; Cardiovascular disease; Selective protection; Vascular disease; Arteriopathy; Treatment; Perfusion; Brain (invertebrata); Surgery; Aorta; Technique; Aortic disease
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/0003-4975(94)91381-1

Seventy-seven patients underwent aortic arch aneuxysm repair using selective cerebral perfusion from January 1987 to August 1992. Early and long-term results and preoperative and postoperative cerebral function were evaluated. Cerebral function was assessed by the mini mental state-Himeji test and the Wechsler adult intelligence scale. Thirty-six patients had true aneurysms, and 41 had dissection. Hospital mortality for true and dissecting aneurysms was 19.4% and 7.3%, respectively. The 5-year actuarial survival rates for true and dissecting aneurysms were 59.0% and 65.3%, respectively (not significant). There were no significant differences in test scores before or after operation. Repair or replacement of the aortic arch using selective cerebral perfusion is a safe procedure with acceptable hospital mortality.