J. Akasaka , T. Saito , K. Kumagai , Y. Hayatsu , Y. Saiki , K. Tabayashi
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Abstract
Introduction
We report a 74-year-old man with highly advanced arteriosclerosis and aortic arch aneurysm and who had a past medical history of cerebral infarction.
Case report
Recurrence of cerebral infarction during operation if cerebral blood flow decreased during debranching of the cerebral arteries was a concern. A direct reconstruction to the arch vessels was carried out with a temporary shunt blood circuit using a 12-Fr balloon perfusion catheter to prevent cerebral ischaemia, and thoracic endovascular aneurysm repair was performed.
Discussion
This method is safe and useful for elderly persons with advanced arteriosclerosis.
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