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本文引用的文献

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Mild-to-moderate hypothermia in aortic arch surgery using circulatory arrest: a change of paradigm?升主动脉手术中应用循环阻断的亚低温治疗：一种观念的转变？
Eur J Cardiothorac Surg. 2012 Jan;41(1):185-91. doi: 10.1016/j.ejcts.2011.03.060.
2
Neuromonitoring using near-infrared spectroscopy: still an interpretation problem.使用近红外光谱进行神经监测：仍然存在解读问题。
Eur J Cardiothorac Surg. 2011 Nov;40(5):1275-6; author reply 1276-7. doi: 10.1016/j.ejcts.2011.03.001. Epub 2011 Apr 13.
3
Moderate hypothermia and unilateral selective antegrade cerebral perfusion: a contemporary cerebral protection strategy for aortic arch surgery.中度低温和单侧选择性顺行脑灌注：主动脉弓手术的当代脑保护策略。
Ann Thorac Surg. 2010 Aug;90(2):547-54. doi: 10.1016/j.athoracsur.2010.03.118.
4
Does anatomical completeness of the circle of Willis correlate with sufficient cross-perfusion during unilateral cerebral perfusion?Willis环的解剖完整性与单侧脑灌注期间的充分交叉灌注是否相关？
Eur J Cardiothorac Surg. 2008 Mar;33(3):402-8. doi: 10.1016/j.ejcts.2007.12.021. Epub 2008 Jan 31.
5
Arch repair with unilateral antegrade cerebral perfusion.采用单侧顺行性脑灌注进行主动脉弓修复术。
Eur J Cardiothorac Surg. 2005 Apr;27(4):638-43. doi: 10.1016/j.ejcts.2005.01.026.
6
Is extended aortic replacement in acute type A dissection justifiable?急性A型主动脉夹层进行主动脉置换术是否合理？
Ann Thorac Surg. 2003 Feb;75(2):525-9. doi: 10.1016/s0003-4975(02)04378-3.

急诊主动脉弓手术期间单侧脑灌注不足。

Insufficient unilateral cerebral perfusion during emergent aortic arch surgery.

作者信息

Urbanski Paul P, Babin-Ebell Jörg, Fröhner Steffen, Diegeler Anno

机构信息

Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Bad Neustadt, Germany.

出版信息

Interact Cardiovasc Thorac Surg. 2012 Jan;14(1):122-4. doi: 10.1093/icvts/ivr042. Epub 2011 Nov 15.

DOI:10.1093/icvts/ivr042
PMID:22108941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3420283/
Abstract

A rare case of insufficient right-sided unilateral cerebral perfusion during emergent aortic arch replacement in a patient with an acute aortic dissection is reported. On the basis of intraoperative monitoring using near-infrared spectroscopy, the insufficient perfusion of the contralateral hemisphere was detected and the bilateral perfusion was performed, which led to normalization of cerebral perfusion and an uncomplicated neurological outcome.

摘要

报告了1例急性主动脉夹层患者在急诊主动脉弓置换术中右侧单侧脑灌注不足的罕见病例。基于术中使用近红外光谱进行的监测，检测到对侧半球灌注不足并进行了双侧灌注，这使得脑灌注恢复正常且神经功能结局未出现并发症。