scholarly journals AI-3 Surgical treatment of aneurysms of the ascending aorta and transverse arch: Experience in 3 patients using cardiopulmonary bypass with selective cerebral perfusion

1983 ◽  
Vol 13 (1) ◽  
pp. 22-24
Author(s):  
M. Washio
Keyword(s):  
Cardiopulmonary Bypass ◽  
Surgical Treatment ◽  
Cerebral Perfusion ◽  
Ascending Aorta ◽  
Selective Cerebral Perfusion ◽  
Transverse Arch

Surgical Treatment for Chronic Pulmonary Thromboembolism Under Cardiopulmonary Bypass with Selective Cerebral Perfusion

Surgery Today ◽  
2001 ◽  
Vol 31 (2) ◽  
pp. 108-112 ◽  
Author(s):  
Masahisa Masuda ◽  
Kenji Mogi ◽  
Mitsuru Nakaya ◽  
Yoko Pearce ◽  
Mizuho Imamaki ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Surgical Treatment ◽  
Cerebral Perfusion ◽  
Pulmonary Thromboembolism ◽  
Selective Cerebral Perfusion

Surgical treatment of the ascending aorta and aortic arch with antegrade cerebral perfusion and moderate hypothermia]]>

2006 ◽  
Vol 21 (4) ◽  
Author(s):  
Marcelo S. S. Martins ◽  
Mauro P. L. S� ◽  
Leonardo Abad ◽  
Eduardo S. Bastos ◽  
Ney Franklin Junior ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Arch ◽  
Cerebral Perfusion ◽  
Ascending Aorta ◽  
Moderate Hypothermia ◽  
Antegrade Cerebral Perfusion

Acid-base Management in Cardiopulmonary Bypass

2021 ◽  
Vol 13 (2) ◽  
pp. 134-143
Author(s):  
Sonny Lesmana Surya ◽  
Yudi Hadinata
Keyword(s):  
Cardiopulmonary Bypass ◽  
Cerebral Perfusion ◽  
Circulatory Arrest ◽  
Deep Hypothermic Circulatory Arrest ◽  
Selective Cerebral Perfusion ◽  
Acid Base ◽  
Cerebral Dysfunction ◽  
Base Management ◽  
Ph Stat

Cardiopulmonary bypass (CPB) merupakan alat penunjang fungsi sirkulasi dan pernapasan pasien yang biasa digunakan ketika menjalani pembedahan jantung atau pembuluh darah besar. Selama prosedur CPB, kondisi hipotermia dipertahankan untuk menurunkan kebutuhan oksigen dan laju metabolisme. Kondisi hipotermia akan mempengaruhi keseimbangan asam-basa pada tubuh. Manajemen asam-basa selama prosedur CPB dicapai dengan menggunakan metode a-stat atau pH-stat. Pada metode a-stat, manajemen asam-basa dilakukan dengan menjaga pHa 7.4 dan PaCO2 40 mmHg pada suhu 37oC tanpa penambahan CO2 oksigen untuk menjaga total CO2 tetap konstan. Sedangkan, pada metode pH-stat, diberikan CO2 oksigen untuk menjaga PaCO2 40 mmHg dan pHa 7.4 secara in vivo. Masih banyak perdebatan terkait waktu penerapan masing-masing metode. Pada level mikrosirkulasi, manajemen a-stat terbukti memberikan keuntungan pada otak dan mengurangi insidensi postoperative cerebral dysfunction. Sedangkan, metode pH-stat dilaporkan meningkatkan risiko emboli otak, sehingga tidak disarankan untuk pasien yang memiliki risiko tinggi gangguan aliran darah otak. Namun, terdapat pula laporan yang menyatakan pH-stat bermanfaat pada operasi bedah jantung anak. Berdasarkan hal itu, usia pasien dapat menentukan waktu penggunaan metode a-stat dan pH-stat. Satu indikasi primer penggunaan pH-stat adalah selama proses pendinginan saat deep hypothermic circulatory arrest (DHCA), sedangkan metode a-stat lebih baik digunakan selama selective cerebral perfusion (SCP) dan rewarming.

Surgical Treatment of the Distal Aortic Arch Aneurysm Using Selective Cerebral Perfusion

2001 ◽  
pp. 134-141
Author(s):  
Koichi Tabayashi ◽  
Mikio Ohmi ◽  
Atsushi Iguchi ◽  
Hitoshi Yokoyama ◽  
Hiroji Akimoto ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Aortic Arch ◽  
Cerebral Perfusion ◽  
Aortic Arch Aneurysm ◽  
Selective Cerebral Perfusion ◽  
Distal Aortic Arch Aneurysm ◽  
Arch Aneurysm

scholarly journals INNOMINATE ARTERY CANNULATION FOR PROXIMAL AORTIC SURGERY

2020 ◽  
Author(s):  
Bülent Mert ◽  
kamil boyacıoğlu ◽  
Hakan Sacli ◽  
Berk Özkaynak ◽  
Ibrahim Kara ◽  
...  
Keyword(s):  
Cardiopulmonary Bypass ◽  
Cerebral Perfusion ◽  
Circulatory Arrest ◽  
Aortic Surgery ◽  
Innominate Artery ◽  
Arterial Injury ◽  
Ascending Aorta ◽  
Artery Cannulation ◽  
The Mean ◽  
Antegrade Cerebral Perfusion

Background. The aim of this study was to evaluate the efficacy and safety of innominate artery cannulation strategy with side graft technique in proximal aortic pathologies. Methods. A total of 70 patients underwent innominate artery cannulation with a side graft for surgery on the proximal aorta from 2012 to 2020. There were 46 men and 24 women with an avarage age of 56 ±13 years. The indications of surgery were type A aortic dissection in 17 patients (24.3%), aortic aneurysm in 52 patients (74.3%) and ascending aorta pseudoaneurysm in 1 patient (1.4%). The innominate artery was free of disease in all patients. Hypothermic circulatory arrest with antegrade cerebral perfusion was utilized in 60 patients (85.7%). 3 patients had previous sternotomy (4.2%). The most common surgical procedure was ascending aorta and hemiarch replacement in 34 patients (48.5%). Results. The mean cardiac ischemia and cardiopulmonary bypass times were 116+46 minutes and164+56 minutes, respectively. The mean antegrade cerebral perfusion time was 27+14 minutes. The patients were cooled between 22’C and 30’C during surgery. 30-day mortality rate was 7.1% with 5 patients. 1 patient (1.4%) had stroke, 1 patient (1.4%) had temporary neurologic deficit and 8 patients (11.4%) had confusion and agitation that resolved completely in all cases. There was no local complication or arterial injury was encounterd. Conclusions. Cannulation of the innominate artery with side graft is safe and effective for both cardiopulmonary bypass and antegrade cerebral perfusion. This technique provides excellent neurologic outcomes for proximal aortic surgery.

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