HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Koichi Tabayashi Mikio Ohmi Takao Togo Makoto Miura Hitoshi Yokoyama Hiroji Akimoto Hitoshi Mohri Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Tabayashi, K. Articles by Mohri, H. Search for Related Content PubMed PubMed Citation Articles by Tabayashi, K. Articles by Mohri, H.

Ann Thorac Surg 1994;57:1305-1310
© 1994 The Society of Thoracic Surgeons

---

Articles

Aortic arch aneurysm repair using selective cerebral perfusion

Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Miyagi, Japan

Accepted for publication September 29, 1993.

^_* Address reprint requests to Dr Tabayashi, Department of Thoracic and Cardiovascular Surgery, 1-1 Seiryo-cho, Aoba-ku, Sendai, Miyagi, 980, Japan.

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.

This article has been cited by other articles:

				A. Gega, J. A. Rizzo, M. H. Johnson, M. Tranquilli, E. A. Farkas, and J. A. Elefteriades Straight Deep Hypothermic Arrest: Experience in 394 Patients Supports Its Effectiveness as a Sole Means of Brain Preservation Ann. Thorac. Surg., September 1, 2007; 84(3): 759 - 767. [Abstract] [Full Text] [PDF]

				S. Masuda, Y. Saiki, S. Kawatsu, I. Yoshioka, H. Fujiwara, S. Kawamoto, S. Sai, A. Iguchi, N. Sakamoto, T. Ohashi, et al. Trial of new vascular clips for aortic anastomosis in a canine model J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 723 - 730. [Abstract] [Full Text] [PDF]

				K. Oda, H. Akimoto, M. Hata, J. Akasaka, K. Yamaya, A. Iguchi, and K. Tabayashi Use of cuffed anastomosis in total aortic arch replacement Ann. Thorac. Surg., September 1, 2003; 76(3): 952 - 953. [Abstract] [Full Text] [PDF]

				D. Harrington, C. H. Wong, and R. S. Bonser Neurological Complications of Aortic Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2002; 6(1): 7 - 16. [Abstract] [PDF]

				Y. Okita, K. Minatoya, O. Tagusari, M. Ando, K. Nagatsuka, and S. Kitamura Prospective comparative study of brain protection in total aortic arch replacement: deep hypothermic circulatory arrest with retrograde cerebral perfusion or selective antegrade cerebral perfusion Ann. Thorac. Surg., July 1, 2001; 72(1): 72 - 79. [Abstract] [Full Text] [PDF]

				H. Yokoyama, M. Ohmi, M. Sadahiro, Y. Shoji, K. Tabayashi, and Y. Moizumi Spontaneous rupture of the thoracic aorta Ann. Thorac. Surg., August 1, 2000; 70(2): 683 - 689. [Abstract] [Full Text] [PDF]

				N. Shiiya, T. Kunihara, M. Imamura, T. Murashita, Y. Matsui, and K. Yasuda Surgical management of atherosclerotic aortic arch aneurysms using selective cerebral perfusion: 7-year experience in 52 patients Eur J Cardiothorac Surg, March 1, 2000; 17(3): 266 - 271. [Abstract] [Full Text] [PDF]

				Y. Okita, M. Ando, K. Minatoya, S. Kitamura, S. Takamoto, and N. Nakajima Predictive factors for mortality and cerebral complications in arteriosclerotic aneurysm of the aortic arch Ann. Thorac. Surg., January 1, 1999; 67(1): 72 - 78. [Abstract] [Full Text] [PDF]

				M. Ohmi, K. Tabayashi, M. Hata, H. Yokoyama, M. Sadahiro, and H. Saito Brain damage after aortic arch repair using selective cerebral perfusion Ann. Thorac. Surg., October 1, 1998; 66(4): 1250 - 1253. [Abstract] [Full Text] [PDF]

				J.-i. Hayashi, S. Eguchi, K. Yasuda, S. Komatsu, K. Tabayashi, M. Masuda, R. Yozu, K. Amemiya, E. Takeuchi, S. Nakano, et al. Aortic Arch Operation Using Selective Cerebral Perfusion for Nondissecting Thoracic Aneurysm Ann. Thorac. Surg., January 1, 1997; 63(1): 88 - 92. [Abstract] [Full Text]

				C. L. Filgueiras, L. Ryner, J. Ye, L. Yang, M. Ede, J. Sun, P. Kozlowski, R. Summers, J. K. Saunders, T. A. Salerno, et al. CEREBRAL PROTECTION DURING MODERATE HYPOTHERMIC CIRCULATORY ARREST: HISTOPATHOLOGY AND MAGNETIC RESONANCE SPECTROSCOPY OF BRAIN ENERGETICS AND INTRACELLULAR pH IN PIGS J. Thorac. Cardiovasc. Surg., October 1, 1996; 112(4): 1073 - 1080. [Abstract] [Full Text]