The Annals of thoracic surgery · 2003
Preoperative construction of an extracranial arterial shunt for resection of an aortic arch aneurysm with occluded left carotid artery.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Takagi Hisato, Mori Yoshio, Umeda Yukio, Fukumoto Yukiomi, Mizuno Yoshimasa, Kaku Yasuhiko, Sakai Noboru, Hirose Hajime
Аннотация
A 68-year-old man with aortic arch aneurysm was referred to our department. Preoperative carotid echography and magnetic resonance angiography revealed occlusion of the left internal carotid artery. Single-photon emission computed tomography scanning indicated that cerebral blood flow was decreased and reactivity to acetazolamide was reduced in the left temporal lobe. A successful superficial temporal artery-middle cerebral artery anastomosis was first made by neurosurgeons. A postoperative single-photon emission computed tomography scan showed that cerebral blood flow and reactivity to acetazolamide were remarkably improved. Two months after the anastomosis, the aortic arch aneurysm was successfully repaired.