Cerebral Oxygen Saturation Monitoring during Aortic Dissection Surgery: A case report.
10.4097/kjae.1997.33.5.962
- Author:
Chang Gi KIM
;
Jung Won HWANG
;
Byung Moon HAM
- Publication Type:Case Report
- Keywords:
Monitoring, cerebral oximetry;
Surgery, aortic dissection
- MeSH:
Aorta, Thoracic;
Circulatory Arrest, Deep Hypothermia Induced;
Humans;
Hypothermia;
Monitoring, Intraoperative;
Oximetry;
Oxygen*;
Perfusion
- From:Korean Journal of Anesthesiology
1997;33(5):962-966
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Transcranial cerebral oximetry has been successfully used in a variety of neurosurgical conditions, primarily those associated with disturbed cerebral circulation. It has been also used in intraoperative monitoring of aortic dissection and surgical procedures performed under deep hypothermia and circulatory arrest. During disending aortic arch exposure, sudden cerebral oxygen saturation change from 63% to 48% was detected. After therapeutic bypass, cerebral oxygen saturation was increased to 65%. During aortic arch repair, deep hypothermic circulatory arrest with retrograde cerebral perfusion was applied for 130 min and cerebral oxygen saturation slowly decreased from 65% to 52%. Patient was discharged from hospital without neurologic complication and cognitive funtion disturbance.
