Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report
Abstract 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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2019-08-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40981-019-0273-7 |
| _version_ | 1818858967105798144 |
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| author | Fumiaki Hayashi Rei Nishimoto Kazuyoshi Shimizu Tomoyuki Kanazawa Tatsuo Iwasaki Hiroshi Morimatsu |
| author_facet | Fumiaki Hayashi Rei Nishimoto Kazuyoshi Shimizu Tomoyuki Kanazawa Tatsuo Iwasaki Hiroshi Morimatsu |
| author_sort | Fumiaki Hayashi |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-19T09:04:42Z |
| format | Article |
| id | doaj.art-ea95dce019214c558f393153c74bb4f2 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-19T09:04:42Z |
| publishDate | 2019-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-ea95dce019214c558f393153c74bb4f22022-12-21T20:28:24ZengSpringerOpenJA Clinical Reports2363-90242019-08-01511410.1186/s40981-019-0273-7Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case reportFumiaki Hayashi0Rei Nishimoto1Kazuyoshi Shimizu2Tomoyuki Kanazawa3Tatsuo Iwasaki4Hiroshi Morimatsu5Department of Anesthesiology and Resuscitology, Okayama University HospitalDepartment of Anesthesiology and Resuscitology, Okayama University HospitalDepartment of Anesthesiology and Resuscitology, Okayama University HospitalDepartment of Anesthesiology and Resuscitology, Okayama University HospitalDepartment of Anesthesiology and Resuscitology, Okayama University HospitalDepartment of Anesthesiology and Resuscitology, Okayama University HospitalAbstract 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.http://link.springer.com/article/10.1186/s40981-019-0273-7Cerebral ischemiaNear-infrared spectroscopyPediatricMinimally invasive cardiac surgeryPericardium traction |
| spellingShingle | Fumiaki Hayashi Rei Nishimoto Kazuyoshi Shimizu Tomoyuki Kanazawa Tatsuo Iwasaki Hiroshi Morimatsu Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report JA Clinical Reports Cerebral ischemia Near-infrared spectroscopy Pediatric Minimally invasive cardiac surgery Pericardium traction |
| title | Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report |
| title_full | Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report |
| title_fullStr | Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report |
| title_full_unstemmed | Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report |
| title_short | Early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery: a case report |
| title_sort | early detection of cerebral ischemia due to pericardium traction using cerebral oximetry in pediatric minimally invasive cardiac surgery a case report |
| topic | Cerebral ischemia Near-infrared spectroscopy Pediatric Minimally invasive cardiac surgery Pericardium traction |
| url | http://link.springer.com/article/10.1186/s40981-019-0273-7 |
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