Abstract
Between October, 1992 and April, 2002, 40 patients underwent thoracic aorta surgery using antegrade selective cerebral perfusion. There were 29 men and 11 women, with a mean age of 67.2±8.1 years (range 45 to 79 years). Twenty-one patients were emergency (emergency group), and 19 were elective procedures (elective group). We compared preoperative, intraoperative and postoperative factors between the emergency group and elective group. In the emergency group, 15 patients underwent an ascending aortic replacement, 5 patients underwent a total arch replacement, 1 patient underwent a partial arch replacement. In the elective group, 2 patients underwent an ascending aortic replacement, 17 patients underwent a total arch replacement. Hospital mortality occurred in 5 patients in the emergency group (23.8%) and 1 in the elective group (5.2%). A permanent neurologic defect occurred in 1 patient in the emergency group (4.7%) and 1 in the elective group (5.2%). The results of surgical treatment of aortic surgery using antegrade selective cerebral perfusion were satisfactory.
