Antegrade Cerebral Perfusion During Aortic Arch Reconstruction in Infants
Today the question about the ideal strategy to protect the brain in the correction of the aortic arch in infants in the aspects of hypothermia, volumetric rate perfusion, hemodilution, such kanyulyatsiyi and safe duration of perfusion remains open.
Materials and methods. From 2010 to 2016 in the SI “NISSH Amosov AMS of Ukraine” series was operated on 33 children aged up to one year with congenital heart defects that required correction of the aortic arch under artificial circulation and antegrade selective cerebral perfusion. The patients’ age at the time of surgery ranged from 1 day to one year (mean age 18±6,5 days), weight – from 2.1 to 10 kg (average weight of 4,8±1,9 kg).
Results. The use of cerebral oximetry to assess possible brain oxygenation during selective antegrade cerebral perfusion. According spectroscopy sensors reduce saturation below 40% in antegrade cerebral perfusion were recorded. As the hospital stage and in the late period of clinical data was not found functional neurological disorders, and according to neurosonography were no signs of organic changes in the brain.
Conclusion. According to our experience antegrade selective cerebral perfusion is a safe and effective method of protecting the brain during operations on the aortic arch in infants minimizing neurological complications as early as in the remote postoperative period.
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