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.
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。
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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。
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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。
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