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Silent brain infarction after minimally invasive cardiac surgery with retrograde perfusion
Author(s) -
Nishijima Shuhei,
Nakamura Yoshitsugu,
Yoshiyama Daiki,
Yasumoto Yuto,
Kuroda Miho,
Nakayama Taisuke,
Tsuruta Ryo,
Ito Yujiro,
Shikata Fumiaki,
Takeda Tetsuji,
Kato Nobuyuki
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14866
Subject(s) - medicine , perfusion , stenosis , incidence (geometry) , perfusion scanning , magnetic resonance imaging , radiology , infarction , retrograde perfusion , cardiology , myocardial infarction , physics , optics
Abstract Background and Aim There is no report on silent brain infarction (SBI) after minimally invasive cardiac surgery (MICS) with retrograde perfusion. Thus, the current study aimed to investigate the incidence of SBI after MICS using magnetic resonance imaging (MRI). Methods This study included 174 patients who underwent MICS with retrograde perfusion between July 2014 and July 2018. Preoperative computed tomography (CT) angiography was routinely performed and vascular pathology was evaluated for patient selection. Postoperative MRI was performed to investigate the occurrence of SBI. Results Out of the total 174 patients, 26 (14.9%) presented with SBI. A total of 61 SBI lesions were found in the 26 patients; of these, 34 (56%) SBI lesions were in the right hemisphere and 27 (44%) in the left hemisphere. SBIs were primarily observed in the posterior cerebral artery territory. Multivariate analysis revealed aortic stenosis to be the only risk factor of SBI. Conclusions Retrograde perfusion via femoral cannulation may not increase the incidence of SBI in selected MICS patients based on preoperative CT findings.