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http://dx.doi.org/10.5090/kjtcs.2014.47.2.163

Hybrid Technique to Correct Cerebral Malperfusion Following Repair of a Type A Aortic Dissection  

Kim, Seon Hee (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
Song, Seunghwan (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
Kim, Sang-Pil (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
Lee, Jonggeun (Department of Thoracic and Cardiovascular Surgery, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
Lee, Han Cheol (Division of Cardiology, Departments of Internal Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
Kim, Eun Soo (Department of Anesthesiology and Pain Medicine, Medical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine)
Publication Information
Journal of Chest Surgery / v.47, no.2, 2014 , pp. 163-166 More about this Journal
Abstract
A 49-year-old man with drowsy mentality was diagnosed with acute type A aortic dissection; he underwent an emergency operation. When selective antegrade cerebral perfusion was initiated, the right regional cerebral oxygen saturation ($rSO_2$) decreased as compared to the left one. Adequate blood flow was perfused through the branch of the artificial graft, after distal anastomosis, but the right $rSO_2$ did not recover. Angiography revealed another intimal tear on the right common carotid artery. A stent was then inserted. The right $rSO_2$ promptly increased to the same level as that of the left one. The patient was discharged without any neurologic complications.
Keywords
Aortic dissection; Cerebral angiography; Stents;
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