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Ann Thorac Surg 2000;69:1266-1268
© 2000 The Society of Thoracic Surgeons

CASE REPORTS

Massive cerebral embolization: successful treatment with retrograde perfusion

John A. Kern, MDa, Scott Arnold, MDa

a Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Virginia Health Sciences Center, Charlottesville, Virginia, USA

Address reprint requests to Dr Kern, Department of Surgery, University of Virginia Health Sciences Center, Box 310-88, Charlottesville, VA 22908
e-mail: jak3r{at}virginia.edu

Stroke is an unpredictable and morbid complication of cardiac operations. We report a patient who suffered massive bilateral cerebral embolization during aortic cannulation for coronary bypass. This was treated successfully with hypothermic circulatory arrest and high flow retrograde cerebral perfusion. The patient suffered only minimal neurologic impairment and improved rapidly. She was discharged home on postoperative day 7 neurologically intact.






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