Importance of Selective Cerebral Perfusion (SCP) to Prevent Intraoperative Ischemic Spinal Cord Injury in Surgical Case of Acute Type A Aortic Dissection
10.4326/jjcvs.42.59
- VernacularTitle:脊髄保護における選択的脳灌流の役割
- Author:
Joji Fukada
;
Yukihiko Tamiya
;
Yasuaki Fujisawa
- Publication Type:Journal Article
- Keywords:
acute type A aortic dissection;
ischemic spinal cord injury;
selective cerebral perfusion;
anterior horn of the spinal cord;
anterior spinal artery
- From:Japanese Journal of Cardiovascular Surgery
2013;42(1):59-62
- CountryJapan
- Language:Japanese
-
Abstract:
We report a rare case of surgical treatment for acute type A aortic dissection with expansion of the false lumen. The patient was a 72-year-old man without any motor paresis who underwent total aortic arch replacement with two-vessel perfusion of SCP and mild hypothermic circulatory arrest for the lower half of the body. Postoperatively, the patient had tetraparesis which was more severe than in his lower extremities, whereas the sensory function was preserved. It was assumed that the anterior horns of the spinal cord were injured longitudinally due to insufficient blood flow of the anterior spinal artery through the SCP. This case suggests that three-vessel perfusion of SCP is important in surgical treatment for acute type A aortic dissection for the prevention of intraoperative ischemic spinal cord injury.
