[Surgical treatment of innominate artery aneurysm using temporary bypass to prevent cerebral ischemia].

Masataka Yamazaki, Takashi Hachiya, Masahito Yamashiro, Makoto Hanai, Shingo Taguchi, Katsuhisa Onoguchi

Research output: Contribution to journalArticle

Abstract

A 69-year-old woman had an innominate artery aneurysm that was adjacent to the right common carotid artery and the right subclavian artery. The patient had a dominant right vertebral artery and an underdeveloped circle of Willis. At surgery, the proximal site of the innominate artery, the right common carotid artery and the right subclavian artery were clamped with the temporary bypass between the ascending aorta and the distal site of the right brachial artery for maintaining the blood flow to the brain. The innominate artery aneurysm was resected, and a woven Dacron Y-shaped graft, 14×7 mm in diameter, was used for reconstructing the innominate artery, the right subclavian artery and the right common carotid artery. The postoperative course was uneventful and there was no postoperative neurological deficit. Temporary bypass for maintaining cerebral perfusion was useful in preventing cerebral ischemia.

Original languageEnglish
Pages (from-to)813-816
Number of pages4
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume67
Issue number9
Publication statusPublished - 2014 Aug
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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