Total aortic arch replacement using hypothermic circulatory arrest with antegrade selective cerebral perfusion: Are there cerebral deficits other than frank stroke?

Kotaro Hiraoka, Satoshi Kawatsu, Etsuro Mori, Yoshikatsu Saiki

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

Background: It is controversial whether cerebral deficits other than frank stroke develop after total aortic arch replacement using hypothermic circulatory arrest (HCA) with antegrade selective cerebral perfusion (SCP). Objectives: We investigated neuropsychological functions in patients who received total aortic arch replacement using deep HCA with SCP. Methods: Eleven patients who underwent elective total arch replacement using deep HCA with antegrade SCP were included. Cognitive functions of the patients were evaluated at baseline, and 3 weeks and 6 months after the aortic arch surgery. Results: The performance of cognitive tests did not change 3 weeks after surgery, except for the attention/ calculation task of the Mini-Mental State Examination (MMSE). Six months after surgery, the decline in score for the attention/calculation task in the MMSE had reversed and the score for this task as well as for all other tests had returned to baseline levels. Conclusion: Long-lasting cognitive deficits other than frank stroke may not develop after total arch replacement surgery using deep HCA with SCP.

Original languageEnglish
Pages (from-to)345-349
Number of pages5
JournalGeneral thoracic and cardiovascular surgery
Volume60
Issue number6
DOIs
Publication statusPublished - 2012 Jun

Keywords

  • Antegrade selective cerebral perfusion
  • Cognitive function
  • Deep hypothermic circulatory
  • Total aortic arch replacement

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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