ID | 57803 |
フルテキストURL | |
著者 |
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
publons
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Kanazawa, Tomoyuki
Department of Anesthesiology and Resuscitology, Okayama University Hospital,
Iwasaki, Tatsuo
Department of Anesthesiology and Resuscitology, Okayama University Hospital,
Kaken ID
publons
Morimatsu, Hiroshi
Department of Anesthesiology and Resuscitology, Okayama University Hospital,
ORCID
Kaken ID
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抄録 | 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. |
キーワード | Cerebral ischemia
Near-infrared spectroscopy
Pediatric
Minimally invasive cardiac surgery
Pericardium traction
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発行日 | 2019-08-17
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出版物タイトル |
JA Clinical Reports
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巻 | 5巻
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号 | 51号
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出版者 | Springer
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開始ページ | 53
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ISSN | 2363-9024
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資料タイプ |
学術雑誌論文
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言語 |
英語
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OAI-PMH Set |
岡山大学
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論文のバージョン | publisher
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DOI | |
Web of Science KeyUT | |
関連URL | isVersionOf https://doi.org/10.1186/s40981-019-0273-7
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ライセンス | http://creativecommons.org/licenses/by/4.0/
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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
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