title: Reconstruction of the carotid artery using a temporary shunt during an operation for advanced thyroid carcinoma--a case report.
abstract: A case of a patient who required reconstruction of the carotid artery during a radical operation for advanced thyroid cancer is reported herein. The patient, a 64-year-old female who had had three previous operations for thyroid cancer, underwent a two-stage operation. In the first stage, the left cervical lymphnodes were dissected, but as a large metastatic node invading the left carotid artery could not be completely removed, some carcinoma tissue was left attached to the wall of the artery. The second stage involved a temporary shunt being set up between the common carotid artery and the internal carotid artery following heparinization, after which the invaded portion was resected, and the defect patched with a saphenous vein graft. Monitoring with a Doppler flow-meter and EEG were conducted throughout the operation. At present, cancer has recurred in the left submandibular and supraclavicular regions.
authors.affiliation: Second Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
authors.forename: M
authors.initials: M
authors.lastname: Miyakawa
authors.forename: A
authors.initials: A
authors.lastname: Sugenoya
authors.forename: T
authors.initials: T
authors.lastname: Yokozawa
authors.forename: O
authors.initials: O
authors.lastname: Senga
authors.forename: G
authors.initials: G
authors.lastname: Kaneko
authors.forename: Y
authors.initials: Y
authors.lastname: Kasuga
authors.forename: F
authors.initials: F
authors.lastname: Iida
authors.forename: S
authors.initials: S
authors.lastname: Kobayashi
authors.forename: N
authors.initials: N
authors.lastname: Takemae
mesh_terms: D002291:Carcinoma, Papillary / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D013964:Thyroid Neoplasms / Q000601:surgery*