| Controlled earlier reperfusion for brain ischemia caused by acute type A aortic dissection. | |
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MedLine Citation:
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PMID: 19324113 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Hiroshi Munakata; Kenji Okada; Hiroya Kano; Sou Izumi; Yutaka Hino; Masamichi Matsumori; Yutaka Okita |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 87 ISSN: 1552-6259 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-27 Completed Date: 2009-04-13 Revised Date: 2010-12-06 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: e27-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Division of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. h-munakata@k7.dion.ne.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, Dissecting / complications, surgery* Aortic Aneurysm / complications, surgery* Brain Ischemia / etiology, surgery* Extracorporeal Circulation Female Humans |
| Comments/Corrections | |
Comment In:
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Ann Thorac Surg. 2010 Dec;90(6):2088; author reply 2089
[PMID:
21095383
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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