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The Annals of Thoracic Surgery, Vol 34, 659-663, Copyright © 1982 by The Society of Thoracic Surgeons

ARTICLES

Clinical results of cardiopulmonary bypass with selective cerebral perfusion for aneurysm of the ascending aorta and the aortic arch

Y Soma, K Kawada, N Kono, H Imamura, R Yotsu, S Odagiri and T Inoue

The purpose of this report is to describe our experience using cardiopulmonary bypass with selective cerebral perfusion in 10 patients whose aneurysms required cross-clamping the aorta and brachiocephalic vessels. Cerebral perfusion was carried out with individual roller pumps. Flow rate was 11.2 +/- 4.8 ml per kilogram of body weight per minute to the right axillary artery, 8.5 +/- 1.0 to the right common carotid artery, 7.0 +/- 2.0 to the left common carotid artery, and 3.9 to the left subclavian artery. All the patients came off bypass smoothly, and only 3 required small amounts of inotropic agents postoperatively. One patient with mycotic aneurysm died in the fourth postoperative week of massive bleeding due to disruption of the suture line. No cerebral complications were experienced. The operative results of this series suggest the usefulness of cardiopulmonary bypass with selective cerebral perfusion, and reasonably favorable outlook for patients with aneurysm involving the aortic arch and the ascending aorta.


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 Ann. Thorac. Surg.Home page
T. Ueda, H. Shimizu, T. Ito, I. Kashima, K. Hashizume, Y. Iino, and S. Kawada
Cerebral complications associated with selective perfusion of the arch vessels
Ann. Thorac. Surg., November 1, 2000; 70(5): 1472 - 1477.
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Copyright © 1982 by The Society of Thoracic Surgeons.