Archives of the Turkish Society of Cardiology
Surgical Treatment of Acute Aortic Dissection and Retrograde Cerebral Perfusion [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 1994; 22(4): 241-245

Surgical Treatment of Acute Aortic Dissection and Retrograde Cerebral Perfusion

Suat BÜKET1, İsa DURMAZ1, Fatma AŞKAR1, Alp ALAYUNT1, Mustafa ÖZBARAN1, Ahmet HAMULU1, Tahir YAĞDI1

Three patients underwent resection and graft replacement of ascending aorta and aortic arch for acute Type I dissection. Retrograde cerebral perfusion through the superior vena cava cannula was used as an adjunct to deep hypothermic total circulatory arrest. The underlying idea was to protect cerebral tissue and to prevent air and particulate embolism. On the first postoperative day, all three patients were found awake and conscious. Oxygen saturation and blood glucose determinations in blood perfused through the superior vena cava and in venous blood returning from the carotid orifices indicated that cerebral metabolic activity persisted even during deep hypothermic total circulatory arrest. Oxygen saturations and blood glucose levels were found lower in the blood, returning from the carotid orifices than the blood perfused through the superior vena cava. This technique seems as an easy procedure to apply and provides advantages during surgical treatment of aortic dissection and aortic arch surgery.

Keywords: Retrograde cerebral perfusion and hypothermic circulatory arrest, aortic surgery

How to cite this article
Suat BÜKET, İsa DURMAZ, Fatma AŞKAR, Alp ALAYUNT, Mustafa ÖZBARAN, Ahmet HAMULU, Tahir YAĞDI. Surgical Treatment of Acute Aortic Dissection and Retrograde Cerebral Perfusion. Turk Kardiyol Dern Ars. 1994; 22(4): 241-245
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