Document Detail

Controlled earlier reperfusion for brain ischemia caused by acute type A aortic dissection.
MedLine Citation:
PMID:  19324113     Owner:  NLM     Status:  MEDLINE    
Brain malperfusion caused by acute type A aortic dissection is a life threatening situation that should be relieved as early as possible with minimal reperfusion injury prior to aortic repair. The patient was 72-year-old woman with acute type A aortic dissection. She was referred to us 2.5 hours after onset of chest pain, and she was unconscious with a complete left paralysis. The true lumen of internal carotid artery was severely stenosed. A simple bypass circuit was installed from the femoral artery to the true lumen of the right common carotid artery, which consisted with a roller pump and cold bath for blood cooling. Regional oxygen saturation of the right frontal brain was immediately raised after initiation of the bypass, and she underwent emergency ascending hemi-arch replacement. The postoperative course was complicated with a right brain stroke; however, brain computed tomography and magnetic resonance imaging disclosed minimum brain edema. She was discharged on foot on the 35th postoperative day, and she was walking with a stick after 7 months.
Hiroshi Munakata; Kenji Okada; Hiroya Kano; Sou Izumi; Yutaka Hino; Masamichi Matsumori; Yutaka Okita
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  87     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-27     Completed Date:  2009-04-13     Revised Date:  2010-12-06    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e27-8     Citation Subset:  AIM; IM    
Department of Surgery, Division of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
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MeSH Terms
Aneurysm, Dissecting / complications,  surgery*
Aortic Aneurysm / complications,  surgery*
Brain Ischemia / etiology,  surgery*
Extracorporeal Circulation
Comment In:
Ann Thorac Surg. 2010 Dec;90(6):2088; author reply 2089   [PMID:  21095383 ]

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