| Surgical Treatment for Aortic
Surgery Using Antegrade Selective Cerebral Perfusion |
(Department of Thoracic Surgery, Yamada Red Cross
Hospital, Mie, Japan)
| Yasumi Maze |
Masaki Yada |
Yoshihiko Katayama |
| Sekira Shomura |
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Between October, 1992 and April,
2002, 40 patients underwent thoracic aorta surgery using antegrade
selective cerebral perfusion. There were 29 men and 11 women,
with a mean age of 67.2±8.1 years (range 45 to 79 years). Twenty-one
patients were emergency (emergency group), and 19 were elective
procedures (elective group). We compared preoperative, intraoperative
and postoperative factors between the emergency group and elective
group. In the emergency group, 15 patients underwent an ascending
aortic replacement, 5 patients underwent a total arch replacement,
1 patient underwent a partial arch replacement. In the elective
group, 2 patients underwent an ascending aortic replacement,
17 patients underwent a total arch replacement. Hospital mortality
occurred in 5 patients in the emergency group (23.8%) and 1 in
the elective group (5.2%). A permanent neurologic defect occurred
in 1 patient in the emergency group (4.7%) and 1 in the elective
group (5.2%). The results of surgical treatment of aortic surgery
using antegrade selective cerebral perfusion were satisfactory.
Jpn. J. Cardiovasc. Surg. 33: 13 -16 (2004) |
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