Total aortic arch aneurysm repair using a stent graft without cardiac or cerebral ischemia View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-07

AUTHORS

Junichi Naganuma, Mikio Ninomiya, Takeshi Miyairi, Yutaka Kotsuka, Shinichi Takamoto

ABSTRACT

A 74-year-old man with an aortic arch aneurysm and a chronic type IIIb aortic dissection underwent total aortic arch repair without cerebral or cardiac ischemia. After confirming no atheromatous change in the ascending aortic wall, a custom-designed 4-limbed graft, prepared for both arterial return of cardiopulmonary bypass and reconstruction of the arch vessels, was anastomosed onto the right side of the ascending aorta. The 3 arch vessels were then bypassed sequentially during systemic cooling and monitoring cerebral perfusion with near-infrared oxymetry. After aortic cross-clamping, a stent graft was inserted into the distal arch from the distal ascending aorta, maintaining cerebral and cardiac perfusion. This procedure is indicated especially in a high-risk patient who has an aortic arch aneurysm without severe atheromatous change in the ascending aorta and the arch vessels. More... »

PAGES

298-301

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf03032299

DOI

http://dx.doi.org/10.1007/bf03032299

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1015143583

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12166270


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