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Interact CardioVasc Thorac Surg 2008;7:133-135. doi:10.1510/icvts.2007.160564
© 2008 European Association of Cardio-Thoracic Surgery
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Pasquale Totaro
Vincenzo Argano
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Proposal for bail-out procedures - Cardiac general

Innovative technique to treat acute cerebral and peripheral malperfusion during type A aortic dissection repair

Pasquale Totaroa,* and Vincenzo Arganob

a Cardiac Surgery, Civic Hospital, 25123 Brescia, Italy
b Cardiac Surgery, Villa Maria Eleonora Hospital, Palermo, Italy

*Corresponding author. Via San Vincenzo 38, 20123 Milano, Italy. Tel.: +39 349 8465085; fax: +39 030 3995004.

E-mail address: ptotaro{at}yahoo.com (P. Totaro).

Cerebral and/or visceral malperfusion during CPB is a potentially dramatic situation which can be easily misunderstood if a complete monitoring of arterial pressure and cerebral saturation is not available. Here we present a case in which we could promptly diagnose cerebral and visceral malperfusion just after starting cardiopulmonary bypass. Use of an original and unusual method for distal perfusion allowed us to treat malperfusion, uneventful cooling of the patient down to deep hypothermia and to complete the procedure in circulatory arrest as planned.

Key Words: Malperfusion; Aortic surgery; Acute aortic dissection


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This article has been cited by other articles:


Home page
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R. R. Battellini
Carotid cannulation.
Interactive CardioVascular and Thoracic Surgery, February 1, 2008; 7(1): 134 - 134.
[Full Text] [PDF]

Home page
 ICVTSHome page
S. Yavuz
What is the best arterial cannulation site in a complicated patient with acute type A aortic dissection?
Interactive CardioVascular and Thoracic Surgery, February 1, 2008; 7(1): 134 - 135.
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