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| http://dx.doi.org/10.1053/j.jvca.2016.12.026 | DOI Listing |
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Cerebral oximetry in antegrade versus retrograde cerebral perfusion in aortic surgery.
Asian Cardiovasc Thorac Ann
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Cardiothoracic Surgery Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
BackgroundThe optimal cerebral protection strategy during complex aortic surgery remains controversial, and various brain monitoring modalities are used to provide different information to improve cerebral protection. This study aims to compare the effect of the change in cerebral oxygen saturation during hypothermic circulatory arrest on the early postoperative neurological outcome in antegrade cerebral perfusion (ACP) versus retrograde cerebral perfusion (RCP) during circulatory arrest in adult aortic surgery using cerebral oximetry.MethodsThis was a cross-sectional analytic study that enrolled a total of 84 patients undergoing total circulatory arrest during adult aortic surgery divided into two groups.
View Article and Find Full Text PDFRight thoracotomy for surgical repair of Kommerell's diverticulum with a right-sided aortic arch and aberrant left subclavian artery: a video case report.
Multimed Man Cardiothorac Surg
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Kawasaki Aortic Center, Kawasaki Saiwai Hospital, Kawasaki, Japan.
Kommerell's diverticulum (KD) combined with a right-sided aortic arch (RAA) and an aberrant left subclavian artery (ALSA) is a rare congenital vascular anomaly causing significant compressive dysphagia. Treatment options, including open surgery, thoracic endovascular aortic repair and hybrid approaches, are debated due to anatomical complexities. We report a 48-year-old female with dysphagia from symptomatic KD, RAA and ALSA, clearly delineated by preoperative computed tomography angiography.
View Article and Find Full Text PDFThe Effects of Unilateral Cerebral Perfusion Under Mild Hypothermia.
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West Georgia Heart Center, Tbilisi State Medical University, Kutaisi, Georgia.
DeBakey type I aortic dissection requires circulatory arrest during arch reconstruction, putting the brain at risk. In resource-limited centers, deep hypothermia can exacerbate coagulopathy and lead to increased bleeding. This study compares outcomes between mild and moderate hypothermia under unilateral cerebral perfusion (UCP).
View Article and Find Full Text PDFRetrograde cerebral perfusion to support aortic arch repair.
Expert Rev Med Devices
September 2025
Neurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, UK.
Introduction: Acute type A aortic dissection (ATAAD) and aortic arch aneurysms are life-threatening conditions requiring complex surgical intervention, often involving circulatory arrest. Cerebral ischemia and neurological complications remain significant challenges in aortic arch surgery. This narrative review focuses on retrograde cerebral perfusion (RCP) techniques used to mitigate these risks.
View Article and Find Full Text PDFSurgical Strategy of Intravenous Leiomyomatosis with Intracardiac Extension: A Case Report.
Ann Vasc Dis
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Department of Cardiovascular Surgery, Nara Prefecture General Medical Center, Nara, Nara, Japan.
Intravenous leiomyomatosis with intracardiac extension is a rare benign tumor originating from uterine smooth muscle. A 50-year-old woman presented with a cardiac mass 3 years after hysterectomy. Imaging revealed a tumor extending from the right internal iliac vein to the right atrium.
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