Pediatric Patient with Stage IV Right Adrenal Cortical Carcinoma Extending into Right Atrium (EP Video)

Overall, change in mean velocity index before and after cross-clamp removal did not differ between groups. However, most emboli entered the right cerebral hemisphere where this change was significantly greater in the open-chamber group, suggesting a possible association between embolic exposure and dysautoregulation.

Practice improvements (eg, transition to membrane oxygenators, blood transfusion guidelines, less- invasive surgical options for high-risk patients) during the time between the authors’ studies likely affected the incidence reduction.