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General Thoracic and Cardiovascular Surgery

Published in:

01-06-2012 | Original Article

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

Authors: Kotaro Hiraoka, Satoshi Kawatsu, Etsuro Mori, Yoshikatsu Saiki

Published in: General Thoracic and Cardiovascular Surgery | Issue 6/2012

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.

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Title: Total aortic arch replacement using hypothermic circulatory arrest with antegrade selective cerebral perfusion: are there cerebral deficits other than frank stroke?
Authors: Kotaro Hiraoka
Satoshi Kawatsu
Etsuro Mori
Yoshikatsu Saiki
Publication date: 01-06-2012
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 6/2012
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-012-0057-8

At a glance: The STEP trials

Springer Medicine

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

Abstract

Background

Objectives

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Objectives

Methods

Results

Conclusion

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