大動脈弓分枝多枝病変に対して血管内治療およびバイパス術を併用した１例

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  • Intravascular treatment combined with bypass operation for many lesions of aortic arch branches. A case report.

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We report a case of many lesions of aortic arch branches successfully treated by intravascular treatment combined with bypass operation.<br> A 63-year-old man was admitted to the hospital because of dizziness. The right and left margin blood pressure of the upper limbs was 34mmHg. A close examination revealed 50% stenosis of the internal carotid artery, 90% stenosis of the bottom of the left common carotid artery, occlusion of the left external carotid artery, and 50-75% stenosis of the left subclavian artery. A two-step approach to operation was employed for the patient. In the first operation, a stent was inserted into the left subclavian artery. In the second operation, a left subclavian artery-common carotid artery bypass was performed using a saphenous vein graft. The patient's postoperative course was uneventful and he was discharged from the hospital on the 16th postoperative day. Intravascular treatment for many lesions of aortic arch branches using a stent ofters minimum invasion and resultant better QOL of the patient. This regimen may be of great value.

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