Successful Surgical Treatment for Aortic Regurgitation Associated with Aortitis Syndrome Presenting Severe Occlusive Lesions of Bilateral Carotid Arteries.
10.4326/jjcvs.25.325
- VernacularTitle:高度頚動脈閉塞性病変を呈した大動脈炎症候群に伴う大動脈弁閉鎖不全に対する１手術例
- Author:
Ken Suzuki
;
Kazuhiro Taniguchi
;
Keishi Kadoba
;
Yuji Miyamoto
;
Hikaru Matsuda
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1996;25(5):325-328
- CountryJapan
- Language:Japanese
-
Abstract:
A 29-year-old female with aortic regurgitation associated with aortitis syndrome and severe stenosis of bilateral carotid arteries was reported. She had no symptom of brain ischemia, although an aortogram revealed complete occlusion of the left common carotid artery and the left subclavian artery, and severe stenosis of the right common carotid artery. The intracranial major arteries were perfused totally by the right vertebral artery via collaterals. The transcranial Doppler method and perfusion cintigraphy revealed normal cerebral perfusion. Therefore, we performed conventional aortic valve replacement without reconstruction of carotid arteries. During cardiopulmonary bypass, the mean systemic blood pressure was kept higher than 60mmHg under moderate-hypothermic (tympanic temperature: 25°C) pulsatile perfusion with monitoring of the left middle cerebral artery flow velocity. The patient did not develop any cerebral complications during or after the operation.
