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Ann Thorac Surg 2001;72:1401-1402
© 2001 The Society of Thoracic Surgeons

How to do it

Isolation technique for stroke prevention in patients with a mobile atheroma

Norihiko Shiiya, MDa, Takashi Kunihara, MDa, Yasuhiro Kamikubo, MDa, Keishu Yasuda, MDa

a Department of Cardiovascular Surgery, Hokkaido University Hospital, Kita-ku, Sapporo, Japan

Accepted for publication May 28, 2001.

Address reprint requests to Dr Shiiya, Department of Cardiovascular Surgery, Hokkaido University Hospital, N14W5, Kita-ku, Sapporo 060-8648, Japan
e-mail: shiyanor{at}med.hokudai.ac.jp

Mobile atheroma in the proximal aorta is a risk factor for brain complication after cardiovascular operation. We report a new technique of replacing the ascending and transverse aorta by establishing selective hypothermic antegrade cerebral perfusion. After cooling, cerebral vessels are clamped and systemic perfusion is started. This technique was applied in 5 patients. All patients woke up normally and recovered without neurologic complication.




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Metabolic relevance during isolation technique in total arch repair for patients at high risk with embolic stroke
Interact CardioVasc Thorac Surg, February 1, 2008; 7(1): 58 - 62.
[Abstract] [Full Text] [PDF]


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