Determination of Clamp Site with Reference to a Cerebral Blood Flow Monitoring System in a Patient with a Right Subclavian Artery Aneurysm Complicated by Right Internal Carotid Artery Occlusion
- VernacularTitle:右内頸動脈閉塞を合併した右鎖骨下動脈瘤に対して脳血流モニタリングを参考に遮断部位を決定し人工血管置換術を施行した1例
- Author:
Taiyo JINNO
1
;
Hiroshi TSUNEYOSHI
1
;
Jiro SAKAI
1
;
Takeshi SHIMAMOTO
1
;
Tatsuhiko KOMIYA
1
Author Information
- Keywords: subclavian artery aneurysm; internal carotid artery occlusion; post-coronary artery bypass grafting
- From:Japanese Journal of Cardiovascular Surgery 2019;48(6):433-437
- CountryJapan
- Language:Japanese
- Abstract: A 66-year-old man was referred to our hospital for the treatment of a right subclavian artery aneurysm. Computed tomography showed a 35-mm aneurysm in the right subclavian artery, and occlusion of the right internal carotid artery. A surgical approach with maintenance of intracranial blood flow was required. During anastomosis of the graft to the native vessel, we clamped the distal and proximal portions of the right subclavian artery, to maintain the blood flow of the right common carotid artery. The INVOS® cerebral oximeter (Somanetics Corp., Troy, MI, USA) was useful in determining the clamping site and surgical strategy. The procedure was completed without complications, and the patient was discharged from the hospital on postoperative day 8 following a good clinical course.
