Isolated aneurysm of the proximal right subclavian artery treated with consideration toward cerebral circulation and vasculature

被引：1

作者：

Nonaka M. ^{[1
]}

Nakatsuka D. ^{[1
]}

Okada T. ^{[1
]}

Sekine Y. ^{[1
]}

Iwakura A. ^{[1
]}

Yamanaka K. ^{[1
]}

机构：

[1] Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Nara 632-8552, 200, Mishima-cho

来源：

General Thoracic and Cardiovascular Surgery | 2013年 / 61卷 / 5期

关键词：

Aneurysm; Cerebral circulation; Subclavian artery; Surgical strategy; Vertebral artery;

D O I：

10.1007/s11748-012-0138-8

中图分类号：

学科分类号：

摘要：

A 65-year-old man with an isolated aneurysm of the proximal right subclavian artery (SCA) (diameter, 50 mm) was successfully treated with a deliberate surgical strategy described here. Because of the occluded left vertebral artery (VA) and poor development of the circle of Willis, the distal portion of the right SCA was bypassed from the ascending aorta before resecting the aneurysm in order to maintain blood flow to the brain through the right VA. Consequently, the patient recovered without neurological complications. We conclude that conventional surgery remains effective for complex vascular diseases even in the era of advanced endovascular surgeries. © 2012 The Japanese Association for Thoracic Surgery.

引用

页码：292 / 295

页数：3

共 9 条

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