Preoperative construction of an extracranial arterial shunt for resection of an aortic arch aneurysm with occluded left carotid artery.
A 68-year-old man with aortic arch aneurysm was referred to our department. Preoperative carotid echography and magnetic resonance angiography revealed occlusion of the left internal carotid artery. Single-photon emission computed tomography scanning indicated that cerebral blood flow was decreased and reactivity to acetazolamide was reduced in the left temporal lobe. A successful superficial temporal artery-middle cerebral artery anastomosis was first made by neurosurgeons. A postoperative single-photon emission computed tomography scan showed that cerebral blood flow and reactivity to acetazolamide were remarkably improved. Two months after the anastomosis, the aortic arch aneurysm was successfully repaired.
Takagi
Hisato
H
First Department of Surgery, Gifu University School of Medicine, Tsukasa, Gifu, Japan. h-takagi@cc.gifu-u.ac.jp
Mori
Yoshio
Y
Umeda
Yukio
Y
Fukumoto
Yukiomi
Y
Mizuno
Yoshimasa
Y
Kaku
Yasuhiko
Y
Sakai
Noboru
N
Hirose
Hajime
H
D000086:Acetazolamide; D000368:Aged; D001013:Aorta, Thoracic; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D002343:Carotid Artery, Internal; D016893:Carotid Stenosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D002548:Cerebral Revascularization; D006801:Humans; D008297:Male; D020768:Middle Cerebral Artery / Q000601:surgery*; D013699:Temporal Arteries / Q000601:surgery*; D015899:Tomography, Emission-Computed, Single-Photon
D000086:Acetazolamide