A Modified Technique of Direct Aortic Arch Debranching Using a Shunt for Cerebral Perfusion Protection During Hybrid Repair of an Aortic Arch Aneurysm

J. Akasaka, T. Saito, K. Kumagai, Y. Hayatsu, Y. Saiki, K. Tabayashi

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction. Case report: Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed. Discussion: This method is safe and useful for elderly persons with advanced arteriosclerosis.

Original languageEnglish
Pages (from-to)e3
JournalEJVES Extra
Volume25
Issue number1
DOIs
Publication statusPublished - 2013 Jan

Keywords

  • High-risk patient
  • Hybrid therapy
  • Thoracic aortic aneurysm

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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