title: Preoperative construction of an extracranial arterial shunt for resection of an aortic arch aneurysm with occluded left carotid artery.
abstract: 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.
authors.affiliation: First Department of Surgery, Gifu University School of Medicine, Tsukasa, Gifu, Japan. h-takagi@cc.gifu-u.ac.jp
authors.forename: Hisato
authors.initials: H
authors.lastname: Takagi
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Mori
authors.forename: Yukio
authors.initials: Y
authors.lastname: Umeda
authors.forename: Yukiomi
authors.initials: Y
authors.lastname: Fukumoto
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Mizuno
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Kaku
authors.forename: Noboru
authors.initials: N
authors.lastname: Sakai
authors.forename: Hajime
authors.initials: H
authors.lastname: Hirose
mesh_terms: 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
chemical_list: D000086:Acetazolamide