Korean J Anesthesiol.  1997 Nov;33(5):962-966. 10.4097/kjae.1997.33.5.962.

Cerebral Oxygen Saturation Monitoring during Aortic Dissection Surgery: A case report

• Kim CG
• Hwang JW
• Ham BM

• KMID: 2154495
• DOI: http://doi.org/10.4097/kjae.1997.33.5.962

Abstract

Transcranial cerebral oximetry has been successfully used in a variety of neurosurgical conditions, primarily those associated with disturbed cerebral circulation. It has been also used in intraoperative monitoring of aortic dissection and surgical procedures performed under deep hypothermia and circulatory arrest. During disending aortic arch exposure, sudden cerebral oxygen saturation change from 63% to 48% was detected. After therapeutic bypass, cerebral oxygen saturation was increased to 65%. During aortic arch repair, deep hypothermic circulatory arrest with retrograde cerebral perfusion was applied for 130 min and cerebral oxygen saturation slowly decreased from 65% to 52%. Patient was discharged from hospital without neurologic complication and cognitive funtion disturbance.

Keyword

Monitoring, cerebral oximetry; Surgery, aortic dissection

MeSH Terms

Aorta, Thoracic
Circulatory Arrest, Deep Hypothermia Induced
Humans
Hypothermia
Monitoring, Intraoperative
Oximetry
Oxygen*
Perfusion
Oxygen