Gayle M O, Ryan C A, Pauw K, Penkoske P
Department of Pediatrics, University of Alberta Hospitals, Edmonton, Canada.
Pediatr Cardiol. 1992 Apr;13(2):100-3. doi: 10.1007/BF00798214.
We describe a case of fatal hypoxic-ischemic encephalopathy, leading to brain death following the modified Fontan procedure in a child with asymptomatic subclavian steal syndrome (SSS). This patient's brain death was most likely multifactorial in view of his postoperative course. However, we believe that the presence of the SSS contributed to the abnormal cerebral circulation during surgery and postoperatively, leading to brain death. The presence of SSS in patients undergoing an open-heart procedure may be a risk factor for cerebral ischemia or brain death.
我们描述了一例患有无症状锁骨下动脉盗血综合征（SSS）的儿童在改良Fontan手术后发生致命性缺氧缺血性脑病并导致脑死亡的病例。鉴于该患者的术后病程，其脑死亡很可能是多因素导致的。然而，我们认为SSS的存在导致了手术期间及术后异常的脑循环，进而导致脑死亡。接受心脏直视手术的患者中存在SSS可能是脑缺血或脑死亡的一个危险因素。
