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Neurocognitive functions after aortic arch repair with right brachial artery perfusion
OZATIK MA; KUCUKER EA; TULUCE H
ANN THORAC SURG , 2004, vol. 78, n° 2, p. 591-595 Doc n°: 115285 Localisation : Bibliothèque Universitaire de Médecine de Nancy Satisfactory neurologic outcome following aortic arch repair through right brachial artery perfusion is well established. However, how neurocognitive functions are affected following selective cerebral perfusion, still needs to be elucidated. Methods. In a period between April 2002 and March 2003, 22 patients (19 male, 3 female, with a mean age of 46.8 +/- 12; range: 26 to 70 years old), underwent aortic arch repair using right brachial artery low flow (8 to 10 mL . Kg(-1) . Min(-1)) selective antegrade cerebral perfusion under moderate hypothermia (26degreesC). There were 6 Stanford type-A dissections and 16 ascending aortic aneurysms. All patients were evaluated preoperatively and postoperatively (at seventh day and second month) for neurocognitive functions. Results. There was no operative mortality. The average cardiopulmonary bypass time was 115.0 +/- 24.2 minutes and the average antegrade cerebral perfusion time was 29.8 +/- 7.1 minutes Langue : ANGLAIS |
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