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ID 57803
FullText URL
Author
Hayashi, Fumiaki Department of Anesthesiology and Resuscitology, Okayama University Hospital,
Nishimoto, Rei Department of Anesthesiology and Resuscitology, Okayama University Hospital,
Shimizu, Kazuyoshi Department of Anesthesiology and Resuscitology, Okayama University Hospital, ORCID Kaken ID
Kanazawa, Tomoyuki Department of Anesthesiology and Resuscitology, Okayama University Hospital,
Iwasaki, Tatsuo Department of Anesthesiology and Resuscitology, Okayama University Hospital, Kaken ID
Morimatsu, Hiroshi Department of Anesthesiology and Resuscitology, Okayama University Hospital, Kaken ID researchmap
Abstract
Background
Minimally invasive cardiac surgery (MICS) for simple congenital heart defects has become popular, and monitoring of regional cerebral oxygen saturation (rSO2) is crucial for preventing cerebral ischemia during pediatric MICS. We describe a pediatric case with a sudden decrease in rSO2 during MICS.
Case presentation
An 8-month-old male underwent minimally invasive ventricular septal defect closure. He developed a sudden decrease in rSO2 and right radial artery blood pressure (RRBP) without changes in other parameters following pericardium traction. The rSO2 and RRBP immediately recovered after removal of pericardium fixation. Obstruction of the right innominate artery secondary to the pericardium traction would have been responsible for it.
Conclusions
Pericardium traction, one of the common procedures during MICS, triggered rSO2 depression alerting us to the risk of cerebral ischemia. We should be aware that pericardium traction during MICS can lead to cerebral ischemia, which is preventable by cautious observation of the patient.
Keywords
Cerebral ischemia
Near-infrared spectroscopy
Pediatric
Minimally invasive cardiac surgery
Pericardium traction
Published Date
2019-08-17
Publication Title
JA Clinical Reports
Volume
volume5
Issue
issue51
Publisher
Springer
Start Page
53
ISSN
2363-9024
Content Type
Journal Article
language
英語
OAI-PMH Set
岡山大学
File Version
publisher
DOI
Web of Science KeyUT
Related Url
isVersionOf https://doi.org/10.1186/s40981-019-0273-7
License
http://creativecommons.org/licenses/by/4.0/
Citation
Hayashi, F., Nishimoto, R., Shimizu, K. et al. Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report. JA Clin Rep 5, 53 (2019) doi:10.1186/s40981-019-0273-7