title: The prevention of nerve injury in aortic arch aneurysmal surgery.
abstract: In a case of aortic arch aneurysm associated with adhesion to the surrounding structures, we devised an operative technique to avoid nerve injury during the surgical procedure. By preserving the adventitial layer of the aortic arch aneurysm to which the phrenic and recurrent nerves were attached, injury to the nerves was avoided, and the aneurysmectomy was completed with the distal anastomosis being performed intraluminally.
authors.affiliation: Second Department of Surgery, Faculty of Medicine, University of Ryukyus, 207 Uehara Nishihara-cho, Okinawa 903-0215, Japan. kuni9244@med.u-ryukyu.ac.jp
authors.forename: Yukio
authors.initials: Y
authors.lastname: Kuniyoshi
authors.forename: Kageharu
authors.initials: K
authors.lastname: Koja
authors.forename: Kazufumi
authors.initials: K
authors.lastname: Miyagi
authors.forename: Tooru
authors.initials: T
authors.lastname: Uezu
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamashiro
authors.forename: Katuya
authors.initials: K
authors.lastname: Arakaki
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D003238:Connective Tissue; D006801:Humans; D008297:Male; D010791:Phrenic Nerve / Q000293:injuries; D020196:Trauma, Nervous System / Q000517:prevention & control*; D014656:Vascular Surgical Procedures / Q000379:methods*