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Ann Thorac Surg 2006;82:325-327
© 2006 The Society of Thoracic Surgeons

Case report

Rapid Diagnosis of Cannula Migration by Cerebral Oximetry in Neonatal Arch Repair

Frank G. Scholl, MD * , David Webb, CCP, Karla Christian, MD, Davis C. Drinkwater, MD

Division of Pediatric Cardiac Surgery, Monroe Carrell Jr Children's Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, Tennessee

Accepted for publication September 12, 2005.

* Address correspondence to Dr Scholl, 5247 Doctor's Office Tower, 2200 Children's Way, Vanderbilt University Medical Center, Nashville, TN 37232-9292 (Email: frank.scholl{at}vanderbilt.edu).

Although it has gained much interest in other surgical specialties, the application of near-infrared spectroscopy to assess cerebral perfusion during cardiac surgery is relatively new. Regional cerebral oxygen saturation (rSO2) is a function of cerebral oxygen supply and demand. Continuous monitoring of the rSO2 permits early detection of cerebral ischemia allowing for prompt intervention. The following is a description of a repair of truncus arteriosus with type A interrupted aortic arch during which continuous cerebral oximetry assisted with the positioning of the arterial cannula avoiding a prolonged episode of cerebral ischemia.




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[Abstract] [PDF]


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