THE PAST DECADE has seen the emergence of cerebral oximetry, a noninvasive
technology based on near-infrared spectroscopic (NIRS) measurement of regional tissue …

Objectives Acute type A aortic dissection complicated with brain ischemia is associated with
significantly higher mortality risks. Even if rescued with central aortic repair, some patients …

Objectives The clinical data on postoperative mortality and central nervous system (CNS)
complications in older adults who underwent acute type A aortic dissection are limited. Thus …

Brain malperfusion caused by acute type A aortic dissection is a life threatening situation
that should be relieved as early as possible with minimal reperfusion injury prior to aortic …

BRAIN INJURY is a common complication during cardiac surgery and is defined by both
postoperative neurocogni tive decline (PONCD) and frank stroke, with rates as high as 50 …

(1) Background: Arterial cannulation in type A acute aortic dissection (TAAAD) is still subject
to debate. We describe a systematic approach of using the innominate artery for arterial …

The malperfusion syndrome associated with acute aortic dissection draws attention because
the clinical picture is very dramatic, and patients with malperfusion have poorer clinical …

OBJECTIVES: The purpose of this study is to evaluate the effects of crossclamping the
ascending aorta in acute type A aortic dissection during the cooling phase for deep …

We describe sole direct innominate cannulation for arterial return for establishing both
cardiopulmonary bypass and selective antegrade cerebral perfusion in the repair of acute …

SURGICAL REPAIR of acute type A aortic dissection is still associated with a 25% mortality
and a 20% stroke rate. 1-4 Perioperative stroke after this complex surgery independently …