A Case of Two-Stage Operation for Distal Arch Aortic Aneurysm with Occluded Right Middle Cerebral Artery
10.4326/jjcvs.36.23
- VernacularTitle:右中大脳動脈閉塞を伴った遠位弓部大動脈瘤に対し二期的手術を行った１例
- Author:
Kunio Gan
;
Tatsurou Asada
;
Takashi Azami
;
Hiroya Minami
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2007;36(1):23-27
- CountryJapan
- Language:Japanese
-
Abstract:
A 68-year-old woman with distal arch aortic aneurysm was admitted. Preoperative magnetic resonance angiography revealed occlusion of the right middle cerebral artery. Single photon emission computed tomography showed decreased cerebral blood flow at rest and decreased reactivity to acetazolamide in the right temporal lobe. At first, a superficial temporal artery to middle cerebral artery anastomosis was made by neurosurgeons. Improvement of both the cerebral blood flow and the reactivity to acetazolamide was confirmed by single photon emission computed tomography 18 days after the operation. Twenty-two days after the operation, a total arch replacement was performed. The postoperative course was uneventful without any neurological complication.
