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Ann Thorac Surg 2003;75:266-268
© 2003 The Society of Thoracic Surgeons

Case report

Isolated cerebral perfusion for intraoperative cerebral malperfusion in type A aortic dissection

Johji Fukada, MD, PhDa*, Kiyofumi Morishita, MD, PhDa, Nobuyoshi Kawaharada, MD, PhDa, Akihiko Yamauchi, MDa, Takeo Hasegawa, CEa, Takuma Satsu, MDa, Tomio Abe, MD, PhDa

a Department of Cardiothoracic Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan

Accepted for publication August 9, 2002.

* Address reprint requests to Dr Fukada, Department of Cardiothoracic Surgery, Sapporo Medical University School of Medicine, South-1, West-12, Chuo-ku, Sapporo 0608543, Japan
e-mail: atsfukada{at}yahoo.co.jp

Cerebral malperfusion due to expansion of a false lumen can occur acutely during aortic repair when retrograde femoral perfusion is initiated. We detected this catastrophe by a rapid decrease in regional cerebral oxygenation and successfully treated it by immediate isolation of the cerebral circulation from the systemic circulation. The surgical management, including the above technique, for this rare event is described.




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