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Current status of brain protection during surgery for congenital cardiac defect

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Abstract

The long-term neurodevelopmental outcome has been a great concern for cardiac surgeons although it is still unclear. There are some risks regarding the neurological and neuropsychological deficits before, during and after cardiovascular surgery. Current status of brain protection during congenital heart surgery could be reported. The incidence of neurologic outcome and the appropriate CPB strategy for brain protection are stated, and the latest data of neurodevelopmental outcome after pediatric cardiac surgery are clarified.

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Acknowledgments

The author thanks Richard A. Jonas, MD, Washington Children’s Medical Center, for his paving the research way for me to this field, and Mr. Tsuyoshi Kaneko, Chief Engineer, Nagano Children’s Hospital, for his valuable advice regarding CPB strategy.

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  1. Division of Pediatric Cardiovascular Surgery, Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan

    Takahiko Sakamoto

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Correspondence to Takahiko Sakamoto.

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This review was submitted at the invitation of the editorial committee.

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Sakamoto, T. Current status of brain protection during surgery for congenital cardiac defect. Gen Thorac Cardiovasc Surg 64, 72–81 (2016). https://doi.org/10.1007/s11748-015-0606-z

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