Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Total aortic arch replacement under intermittent pressure-augmented retrograde cerebral perfusion. | Kubota et al. Journal of Cardiothoracic Surgery 2010 5 97 http content 5 1 97 JOTS JOURNAL OF CARDIOTHORACIC SURGERY CASE REPORT Open Access Total aortic arch replacement under intermittent pressure-augmented retrograde cerebral perfusion 1 1 1 1 2 1 Hiroshi Kubota Kunihiko Tonari Hidehito Endo Hiroshi Tsuchiya Hideaki Yoshino Kenichi Sudo Abstract Kitahori Kawata Takamoto et al. described the effectiveness of a novel protocol for retrograde cerebral perfusion that included intermittent pressure augmentation for brain protection in a canine model. Based on their report we applied this novel technique clinically. Although the duration of circulatory arrest with retrograde cerebral perfusion was long the patient recovered consciousness soon after the operation and had no neurological deficit. Nearinfrared oximetry showed recovery of intracranial blood oxygen saturation every time the pressure was augmented. Background To prolong the safe limits of conventional retrograde cerebral perfusion RCP Kitahori Kawata Takamoto et al. assessed a novel protocol intermittent pressure-augmented retrograde cerebral perfusion IPA-RCP in a canine model 1-3 . This new protocol was clinically applied to a 51 year-old-male with a diagnosis of acute aortic dissection. Near infrared oximetry showed recovery of intracranial blood oxygen saturation during the pressure augmentation. Although duration of RCP was long the patient recovered consciousness 30 min after the operation free of any neurological deficit after total arch replacement. Case presentation On July 24 2006 a 51 year-old-male with a diagnosis of acute aortic dissection DeBakey I Stanford A was transferred to our hospital from a nearby hospital and emergency operation was performed the same day. The pericardium was opened through a median sternotomy and a cardiopulmonary bypass was established by cannulations the inferior and superior venae cavae and the right femoral artery. Circulatory arrest .
