Cardiopulmonary bypass management in patients with congenital aortic arch disease combined with abnormal subclavian artery
Wang Huiying
Liu Jinping
Li Shoujun
Bai Liting
Liu Jia
Abstract：Objective To explore the perioperative monitoring and cardiopulmonary bypass management characteristics of patients with aortic arch lesions and abnormal subclavian arteries.Methods The clinical data of four cases in our hospital who underwent surgical correction of aortic arch diseases complicated with abnormal subclavian arteries were reviewed,as well as the key points of cardiopulmonary bypass management.Results The four children had no central nervous system complications,no hospital deaths,and experienced a good recovery after intraoperative blood pressure monitoring combined with local oxygen saturation monitoring to ensure adequate cerebral perfusion and balance of cerebral supply and demand.Conclusion For children with such complex malformations,it is important to be familiar with the anatomy before surgery,communicate with surgeons and anesthesiologists,and improve intraoperative monitoring,especially the monitoring of cerebral oxygen saturation.
Keywords：Aortic arch diseaseAberrant subclavian arteriesCardiopulmonary bypassRegional cerebral perfusionRegional oxygenation saturation
Publication Date：2025-02-27
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 17-22 )