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Updated: Aug 26, 2026

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
Published on: January 18, 2018
Retrograde cerebral perfusion for treatment of air embolism after valve surgery
Shrinivas Vitthal Gadhinglajkar1, Vitthal Gadhinglajkar Shrinivas, R Sankarkumar
1Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India. shri@sctimst.ker.nic.in
Abstract:
Air embolism occurred after termination of cardiopulmonary bypass in a 22-year-old man undergoing aortic valve replacement for rheumatic aortic insufficiency. Normothermic retrograde cerebral perfusion was instituted for 5 min at a flow rate of 300-500 mL.min(-1), maintaining internal jugular vein pressure < 25 mmHg. The aortic cannula was declamped intermittently for 5-10 seconds. Mean arterial pressure was kept at 60-70 mmHg. The patient recovered without any neurological deficit.
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