A Case of Ruptured Thoracoabdominal Aortic Aneurysm Repair under Profound Hypothermia Using Subclavian Arterial Perfusion through Right Axillo-Bifemoral Bypass Graft Implanted Ten Years Previously
10.4326/jjcvs.33.263
- VernacularTitle:１０年前に設置されたえきか動脈‐大腿動脈バイパス人工血管を送血路とした体外循環により救命した胸腹部大動脈りゅう破裂の１例
- Author:
Kenji Mogi
;
Yoshiharu Takahara
;
Shigeyasu Takeuchi
;
Manabu Sakurai
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2004;33(4):263-265
- CountryJapan
- Language:Japanese
-
Abstract:
A 74-year-old woman had undergone right axillo-bifemoral bypass for infrarenal aortic stenosis due to aortitis syndrome in another hospital. She was admitted as an emergency case to our hospital with a ruptured thoracoabdominal aortic aneurysm, and an emergency operation was performed. We used arterial cannulation to the artificial vascular graft implanted for axillo-bifemoral bypass and first cooled the body temperature to below 25°C, then dissected the aorta. In the case of ruptured descending and thoracoabdominal aortic aneurysm, profound hypothermia is a valuable adjunct for unexpected blowout rupture during the preparation of the aneurysm and spinal cord and visceral protection.
