| Autor: |
Senaha S; Department of Cardiovascular Surgery, Nanbu Tokushukai Hospital, Okinawa, Japan., Tozuka Y, Shimoji M, Akasaki M |
| Jazyk: |
japonština |
| Zdroj: |
Kyobu geka. The Japanese journal of thoracic surgery [Kyobu Geka] 2014 Sep; Vol. 67 (10), pp. 923-5. |
| Abstrakt: |
Reoperation for a giant thoracic aneurysm touching the sternum needs to be performed with special precautions. The patient was a 65-year-old man who had undergone ascending aortic replacement due to acute Stanford type A dissection 5 years previously. He visited an outpatient clinic after an interval of 4 years, and was diagnosed with an aortic arch aneurysm which was touching the sternum. Preoperative examinations suggested a high risk of rupture if resternotomy was performed. Therefore, we performed resternotomy under cardiopulmonary bypass. In addition, the left carotid artery was secured for cerebral perfusion through a neck incision, which enabled core cooling in case of uncontrollable hemorrhage. He successfully underwent aortic arch replacement, and he was discharged without any neurological complications. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
