Time limitation of postural retrograde cerebral perfusion during cerebral hypothermic circulatory arrest. A report of an unsuccessful case

S Sasaguri; S Yamamoto; Y Hosoda

Time limitation of postural retrograde cerebral perfusion during cerebral hypothermic circulatory arrest. A report of an unsuccessful case

J Cardiovasc Surg (Torino). 1996 Apr;37(2):125-7.

Authors

S Sasaguri¹, S Yamamoto, Y Hosoda

Affiliation

¹ Department of Thoracic Surgery, Juntendo University, Tokyo, Japan.

PMID: 8675517

Abstract

We report an unsuccessful case with ruptured aortic arch aneurysm using deep hypothermia with postural retrograde cerebral perfusion by simply elevating central venous pressure in the Trendelenburg position. Ninety-three minutes of cerebral circulatory arrest by this method caused irreversible global cerebral damage. Ninety minutes may be over the time limit of this method.

Publication types

Case Reports

MeSH terms

Aged
Aortic Aneurysm, Thoracic / surgery
Aortic Rupture / surgery
Brain Ischemia / etiology*
Cerebrovascular Circulation
Heart Arrest, Induced / adverse effects*
Heart Arrest, Induced / methods
Humans
Hypothermia, Induced / adverse effects*
Hypothermia, Induced / methods
Male
Perfusion / methods
Postoperative Complications / etiology*
Posture
Time Factors