MANAGEMENT OF THE CARDIOPULMONARY BYPASS WITH SELECTIVE CEREBRAL PERFUSION

Abstract

Cardiopulmonary bypass with selective cerebral perfusion (SCP) was applied for 24 consecutive patients who had aneurysm of the aortic arch. 15 patients had atherosclerotic aneurysms, and 9 patients had dissect-ing aneurysms. Management of SCP was variety. In general case, SCP was started immediately aorta was cross clamped. To keep cardiac beating until the nasopharyngeal temperature was under 29t was very important in this case. In case that needs AVR or CABG, SCP should be started after the procedure to reduce SCP time. And a patient with the atherosclerotic aneurysm or chronic dissec-ting aneurysm who had extremely narrowed true lumen had to receive the SCP that was started immediately cardiopulmonary bypass started.