Key result
Bilateral carotid cannulation before resternotomy maintains cerebral perfusion without adverse neurological events in two patients.
Why the study?
Surgical intervention for aortic pseudoaneurysm is challenging due to risks of rupture and increased morbidity and mortality, necessitating strategies to maintain cerebral perfusion during circulatory arrest.
Does bilateral carotid artery cannulation before resternotomy improve cerebral perfusion and outcomes in patients undergoing reoperative aortic aneurysm surgery?
Case Report (n=2)
No
Does bilateral carotid artery cannulation before resternotomy improve cerebral perfusion and outcomes in patients undergoing reoperative aortic aneurysm surgery?
Bilateral carotid artery cannulation before resternotomy is highlighted as a vital technique to maintain cerebral perfusion during reoperative aortic aneurysm surgery.
Maintaining cerebral perfusion may aid outcomes in aortic pseudoaneurysm repair; leaves open optimal strategies for prospective study.
Aortic pseudoaneurysm is an uncommon complication following major aortic surgery. Surgical intervention is challenging due to risks of pseudoaneurysm rupture, causing increased morbidity and mortality. Maintaining cerebral perfusion during circulatory arrest is therefore vital to improve patient outcomes.
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Nader et al. (2022) conducted a case report in Aortic pseudoaneurysm (n=2). Bilateral carotid artery cannulation before resternotomy was evaluated on Adverse neurological events. Bilateral carotid artery cannulation before resternotomy maintained continuous antegrade cerebral perfusion, resulting in uneventful recoveries with no adverse neurological events in two patients.
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