Usage of External Shunt in Hybrid Approach for Aortic Arch Aneurysm to Restore Cerebral Oxygenation

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Author(s)

    • Mitsuoka Hiroshi
    • Department of Vascular Surgery, Shizuoka Red Cross Hospital, Shizuoka, Shizuoka, Japan
    • Furuya Hidekazu
    • Department of Cardiac Surgery, Shizuoka Red Cross Hospital, Shizuoka, Shizuoka, Japan
    • Nakao Yoshinaga
    • Department of Cardiac Surgery, Shizuoka Red Cross Hospital, Shizuoka, Shizuoka, Japan
    • Shintani Tsunehiro
    • Department of Vascular Surgery, Shizuoka Red Cross Hospital, Shizuoka, Shizuoka, Japan
    • Higashi Shigeki
    • Department of Cardiac Surgery, Shizuoka Red Cross Hospital, Shizuoka, Shizuoka, Japan

Abstract

A hybrid approach, combining open and endovascular procedures, may be a less invasive substitute to correct aortic arch pathologies in high-risk patients. We describe an 82-year-old male patient with an atherosclerotic aortic arch aneurysm, which was treated with proximal transposition of all arch branches and endovascular aortic arch repair. During the left common carotid artery reconstruction, oxygen saturation level of the left cerebral hemisphere decreased lower than the safety limit. To re-establish brain perfusion, we installed an external shunt from the right common femoral artery to the left common carotid artery. The oxygen saturation was restored to an acceptably safe level, and the patient tolerated the procedure without any signs of postoperative ischemic stroke.

Journal

  • Annals of Vascular Diseases

    Annals of Vascular Diseases 4(1), 50-52, 2011

    The Editorial Committee of Annals of Vascular Diseases

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