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Updated: Jun 14, 2026
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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
11.7K
[Stroke and stroke prevention in cardiac and thoracic aortic surgery]
Luca Di Marco1, Silvia Snaidero1, Alessandro Leone1
1U.O. Cardiochirurgia, Polo Cardio-Toraco-Vascolare, Policlinico di Sant'Orsola, IRCCS Azienda Ospedaliero-Universitaria di Bologna.
Giornale Italiano Di Cardiologia (2006)
|May 29, 2024
Summary
Preventing stroke during cardiac surgery, especially aortic arch procedures, involves managing risk factors and employing neuroprotection strategies. Key methods include evaluating plaques and using cerebral perfusion techniques to minimize neurological injury.
Area of Science:
- Cardiovascular Surgery
- Neurology
- Neurosurgery
Background:
- Perioperative stroke and neurological injuries are known complications of cardiac surgery.
- Aortic arch surgery presents a higher risk for cerebrovascular complications.
- Recent meta-analyses report an overall stroke incidence of approximately 1% in cardiac surgery.
Purpose of the Study:
- To review preventative measures for cerebrovascular complications during cardiac surgery.
- To highlight strategies for cerebral protection specifically during aortic arch surgery.
Main Methods:
- Evaluation of atherosclerotic plaques.
- Careful selection of cannulation sites.
- Implementation of neuroprotection strategies.
- Utilizing deep hypothermic circulatory arrest.
- Employing retrograde and antegrade cerebral perfusion during aortic arch surgery.
Main Results:
- Stroke incidence is influenced by individual risk factors and surgical type.
- Preventative measures can mitigate the risk of perioperative stroke.
- Specific cerebral protection techniques are crucial for aortic arch procedures.
Conclusions:
- Cerebrovascular complications are significant risks in cardiac and aortic arch surgery.
- Proactive management of risk factors and targeted neuroprotection are essential.
- Advanced techniques like deep hypothermia and cerebral perfusion improve patient outcomes.
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