Iliac-subclavian-internal carotid artery bypass for cerebral ischemia due to multiple proximal supra-aortic vessel obstruction (aortic arch syndrome).
Severe cerebral ischemia was successfully treated in a patient with arteriosclerotic aortic arch syndrome by an iliac-subclavian-internal carotid artery bypass, using an extra-anatomic modified Dacron prosthesis externally coated with collagen. The procedure and material seem suitable for managing high-risk patients who have critically stenotic or occluded branches of the aortic arch and who would not tolerate anatomic, transthoracic repair.
Hartl
W H
WH
Department of Surgery, Klinikum Grosshadern, Ludwig-Maximilian University Munich.
Lauterjung
L
L
D000714:Anastomosis, Surgical; D001015:Aortic Arch Syndromes / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D002545:Brain Ischemia / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery*; D005260:Female; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008875:Middle Aged; D011474:Prosthesis Design; D013348:Subclavian Artery / Q000601:surgery*