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The Annals of Thoracic Surgery, Vol 57, 1305-1310, Copyright © 1994 by The Society of Thoracic Surgeons
K Tabayashi, M Ohmi, T Togo, M Miura, H Yokoyama, H Akimoto, S Murata, K Ohsaka and H Mohri
Seventy-seven patients underwent aortic arch aneurysm 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.
ARTICLES
Aortic arch aneurysm repair using selective cerebral perfusion
Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Miyagi, Japan.
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