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Gordeev M.L.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Uspenskiĭ V.E.

NII khirurgii porokov i ishemicheskoĭ bolezni serdtsa, NIO anesteziologii, reanimatologii i perfuziologii FGBU "Federal'nyĭ Tsentr serdtsa, krovi i ndokrinologii imeni V.A. Almazova" Minzdrava Rossii

Bakanov A.Iu.

NII khirurgii porokov i ishemicheskoĭ bolezni serdtsa, NIO anesteziologii, reanimatologii i perfuziologii FGBU "Federal'nyĭ Tsentr serdtsa, krovi i ndokrinologii imeni V.A. Almazova" Minzdrava Rossii

Malaia E.Ia.

NII khirurgii porokov i ishemicheskoĭ bolezni serdtsa, NIO anesteziologii, reanimatologii i perfuziologii FGBU "Federal'nyĭ Tsentr serdtsa, krovi i ndokrinologii imeni V.A. Almazova" Minzdrava Rossii

Naĭmushin A.V.

NII khirurgii porokov i ishemicheskoĭ bolezni serdtsa, NIO anesteziologii, reanimatologii i perfuziologii FGBU "Federal'nyĭ Tsentr serdtsa, krovi i ndokrinologii imeni V.A. Almazova" Minzdrava Rossii

Operations on ascending aorta and aortic arch in conditions of antegrade cerebral perfusion under the control of cerebral oximetry

Authors:

Gordeev M.L., Uspenskiĭ V.E., Bakanov A.Iu., Malaia E.Ia., Naĭmushin A.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2014;7(2): 64‑68

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OPERATIONS ON ASCENDING AORTA AND AORTIC ARCH IN CONDITIONS OF ANTEGRADE CEREBRAL PERFUSION UNDER THE CONTROL OF CEREBRAL OXIMETRY
OPERATIONS ON ASCENDING AORTA AND AORTIC ARCH IN CONDITIONS OF ANTEGRADE CEREBRAL PERFUSION UNDER THE CONTROL OF CEREBRAL OXIMETRY

To cite this article:

Gordeev ML, Uspenskiĭ VE, Bakanov AIu, Malaia EIa, Naĭmushin AV. Operations on ascending aorta and aortic arch in conditions of antegrade cerebral perfusion under the control of cerebral oximetry. Russian Journal of Cardiology and Cardiovascular Surgery. 2014;7(2):64‑68. (In Russ.)

 
 
Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
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It was done 29 operations on ascending aorta and aortic arch with continuous intraoperative monitoring of cerebral oxygenation in the period from January 2012 to March 2013. In most cases surgical stage on aortic arch was performed under circulatory arrest, mild hypothermia and antegrade cerebral perfusion. Mortality was 3% (1 patient). Intermediate postoperative period is complicated by cerebrovascular accident in 2 cases. It was detected the correlation between intraoperative brain saturation and neurological complications in intermediate postoperative period. This method of effectiveness monitoring of brain protection during circulatory arrest is effective and safe for patient. Future studies evaluating changes of cognitive function in late postoperative period after intervention on ascending aorta and aortic arch are necessary.

Keywords:

surgery on aortic arch
circulatory arrest
intraoperative monitoring
cerebral oximetry
antegrade cerebral perfusion

Authors:

Gordeev M.L.

FGBU "Federal'nyĭ tsentr serdtsa, krovi i éndokrinologii im. V.A. Almazova", Sankt-Peterburg

Uspenskiĭ V.E.

NII khirurgii porokov i ishemicheskoĭ bolezni serdtsa, NIO anesteziologii, reanimatologii i perfuziologii FGBU "Federal'nyĭ Tsentr serdtsa, krovi i ndokrinologii imeni V.A. Almazova" Minzdrava Rossii

Bakanov A.Iu.

NII khirurgii porokov i ishemicheskoĭ bolezni serdtsa, NIO anesteziologii, reanimatologii i perfuziologii FGBU "Federal'nyĭ Tsentr serdtsa, krovi i ndokrinologii imeni V.A. Almazova" Minzdrava Rossii

Malaia E.Ia.

NII khirurgii porokov i ishemicheskoĭ bolezni serdtsa, NIO anesteziologii, reanimatologii i perfuziologii FGBU "Federal'nyĭ Tsentr serdtsa, krovi i ndokrinologii imeni V.A. Almazova" Minzdrava Rossii

Naĭmushin A.V.

NII khirurgii porokov i ishemicheskoĭ bolezni serdtsa, NIO anesteziologii, reanimatologii i perfuziologii FGBU "Federal'nyĭ Tsentr serdtsa, krovi i ndokrinologii imeni V.A. Almazova" Minzdrava Rossii

List of references:

  1. Bokeriya L.А., Gudkova R.G. Serdechno-sosudistaya khirurgiya-2009. Bolezni i vrozhdennye anomalii sistemy krovoobrashheniya [Cardiovascular Surgery2009. Disease andcongenital malformations ofthe circulatory system]. M: NTSSSKH im. А.N. Bakuleva RАMN 2010.(In Russian)
  2. Bokeriya L.А., Gudkova R.G. Serdechno-sosudistaya khirurgiya-2010. Bolezni i vrozhdennye anomalii sistemy krovoobrashheniya [Cardiovascular Surgery2010. Disease andcongenital malformations ofthe circulatory system]. M: NTSSSKH im. А.N. Bakuleva RАMN 2011.(In Russian)
  3. Bokeriya L.А., Gudkova R.G. Serdechno-sosudistaya khirurgiya-2011. Bolezni i vrozhdennye anomalii sistemy krovoobrashheniya [Cardiovascular Surgery2011. Disease andcongenital malformations ofthe circulatory system]. M: NTSSSKH im. А.N. Bakuleva RАMN 2012.(In Russian)
  4. Pokrovskij А.V. Zabolevaniya aorty i ee vetvej [Diseases of theaorta and its branches]. M: Meditsina 1979.(In Russian)

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