A Successful Case of Selective Intercostal Arterial Perfusion in a Patient with Ruptured Thoraco-Abdominal Aortic Aneurysm
10.4326/jjcvs.38.273
- VernacularTitle:胸腹部大動脈瘤破裂に対して肋間動脈再建を先行させ人工血管置換術を施行した1例
- Author:
Tomohiro Nakajima
;
Toshiro Ito
;
Nobuyoshi Kawaharada
;
Mayuko Uehara
;
Yohsuke Yanase
;
Masaki Tabuchi
;
Akihiko Yamauchi
;
Tetsuya Higami
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2009;38(4):273-275
- CountryJapan
- Language:Japanese
-
Abstract:
A 61-year-old man underwent thoracic aortic graft replacement and abdominal aortic graft replacement because of a dissecting aneurysm. He presented with a ruptured residual dissecting thoraco-abdominal aortic aneurysm and underwent emergency thoraco-abdominal aortic graft replacement in February 2007. An inverted bifurcated graft was fashioned by cutting one of the two graft legs and creating an elliptical patch, like a cobra-head. In order to prevent paraplegia after the operation, it was necessary to shorten the duration of spinal cord ischemia. Once the elliptical patch was sutured to the orifices of the internal costal arteries with running sutures, selective intercostal arterial perfusion was initiated by using a cardiopulmonary bypass. After the operation, he did not suffer paraplegia.
