A novel technique of antegrade cerebral perfusion in the newborn with critical aortic stenosis.

نویسندگان

  • Christian Auer
  • Rudolf Mair
  • Gertraud Geiselseder
  • Eva Sames
  • Peter Buhl
  • Christoph Gross
چکیده

Various methods of cerebral protection have been used during such aortic arch operations as the Norwood Procedure and operations on the interrupted aortic arch in neonates and infants. Deep hypothermia with circulatory arrest is the most common technique, but has a limited safe period for circulatory arrest. Antegrade cerebral perfusion has been introduced to prolong this safe period. We reviewed our experience with antegrade cerebral perfusion during surgical repair, in a patient with hypoplastic left heart syndrom in stage 1 palliation.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The use of Doppler ultrasonography for the evaluation of cerebral artery flow patterns in infants with congenital heart disease.

With the use of a two-dimensional range-gated pulsed-Doppler ultrasound system, Doppler examinations of the aorta and cerebral arteries were performed in 20 normal newborn infants and in 54 infants with various forms of congenital heart disease (i.e. patent ductus arteriosus, coarctation of the aorta, critical aortic stenosis, pulmonary atresia, truncus arteriosus). In the cerebral artery Doppl...

متن کامل

A technique for performing antegrade selective cerebral perfusion without interruption of forward flow or cannula relocation for pediatric aortic arch reconstruction.

New technology and advances in extracorporeal bypass circuitry and surgical techniques have drastically improved outcomes in infants with congenital heart defects. Hypothermia with circulatory arrest has fallen out of favor in many institutions over the last decade in part from data implicating even short circulatory arrest times to long-term neurologic sequelae. Implementing continuous cerebra...

متن کامل

Cerebral Events are not Predicted by Near-Infrared Spectroscopy during Anesthesia for Aortic Arch Surgery with Bilateral Antegrade Selective Cerebral Perfusion and Hypothermic Circulatory Arrest

Background: Near-infrared spectroscopy (NIRS) for brain monitoring has an uncertain value. We prospectively assessed the association of decreased NIRS tissue oxygenation index (TOI) with cerebral events in adults undergoing aortic arch repair with hypothermic circulatory arrest and bilateral antegrade selective cerebral perfusion. Methods: 76 consecutive patients (mostly aortic arch dissections...

متن کامل

Predictors of mortality and reoperation in acute type-a aortic dissection surgery: 18 years of experience.

INTRODUCTION AND OBJECTIVES To describe our experience with acute type-A aortic dissection surgery, including an analysis of the effect of cerebral protection on outcome. METHODS Between March 1990 and October 2007, 98 consecutive patients underwent surgery for acute type-A aortic dissection. Of these, 85 had an ascending aorta replacement, while the entire arch was replaced in 13. The aortic...

متن کامل

Neonate aortic stenosis: importance of myocardial perfusion in prognosis.

OBJECTIVE To analyze our experience with percutaneous aortic balloon valvuloplasty in newborn infants with aortic stenosis, emphasizing the extraordinary importance of myocardial perfusion. METHODS Over a 10-year-period, 21 neonates underwent percutaneous aortic balloon valvuloplasty. Age ranged from 2 to 27 days, weight ranged from 2.2 to 4.1 kg and 19 were males. All patients presented with...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The journal of extra-corporeal technology

دوره 36 2  شماره 

صفحات  -

تاریخ انتشار 2004