Innominate artery dissection with presentation of sudden right frontal desaturation detected by cerebral oximetry in complicated thoracic aortic aneurysm repair surgery: a case report

Shen-Chih Wang; Po-Han Lo; Juo-Lan Shen; Chun-Che Shih; Wen-Kuei Chang; Kwok-Hon Chan; Pin-Tarng Chen

doi:10.1016/j.jclinane.2009.12.016

Innominate artery dissection with presentation of sudden right frontal desaturation detected by cerebral oximetry in complicated thoracic aortic aneurysm repair surgery: a case report

J Clin Anesth. 2011 Mar;23(2):137-41. doi: 10.1016/j.jclinane.2009.12.016.

Authors

Shen-Chih Wang¹, Po-Han Lo, Juo-Lan Shen, Chun-Che Shih, Wen-Kuei Chang, Kwok-Hon Chan, Pin-Tarng Chen

Affiliation

¹ Department of Anesthesiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei 112, Taiwan, ROC.

PMID: 21377079
DOI: 10.1016/j.jclinane.2009.12.016

Abstract

Cerebral oximetry is a noninvasive bedside monitor for cerebral oxygen saturation (rSO(2)). A patient with a thoracic aneurysm underwent combined surgical and endovascular repair. A sudden decrease in right rSO(2) led to the finding of acute innominate artery dissection. Immediate repair was instituted. Sudden asymmetry of rSO(2) may be a warning sign of underlying pathology.

Publication types

Case Reports
Research Support, Non-U.S. Gov't

MeSH terms

Aged, 80 and over
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / diagnosis
Aortic Dissection / surgery*
Brachiocephalic Trunk / surgery
Humans
Male
Oximetry / methods*
Oxygen / metabolism

Substances

Oxygen