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Detection of unintentional partial superior vena cava occlusion during a bidirectional cavopulmonary anastomosis

2004; Elsevier BV; Volume: 18; Issue: 4 Linguagem: Inglês

10.1053/j.jvca.2004.05.006

1532-8422

Richard J. Ing, D. Scott Lawson, James Jaggers, Scott R. Schulman, Ian R. Shearer, Frank H. Kern,

Cardiac, Anesthesia and Surgical Outcomes

CARDIOPULMONARY BYPASS (CPB) has been recognized as a source of neurologic morbidity after congenital heart surgery. Continuous cerebral oxygen monitoring has been available for a number of years but, until recently, has had limited clinical application during congenital heart surgery.1 Cerebral oxygen desaturation during cardiac surgery has been associated with neurologic complications.2–7 This case report describes the early detection of decreased regional cerebral oxygen saturation (rSO2) with the use of noninvasive intraoperative near-infrared spectroscopy (NIRS) in an 11-month-old child undergoing a bidirectional cavopulmonary anastomosis procedure.