The prevention of nerve injury in aortic arch aneurysmal surgery.
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.
Kuniyoshi
Yukio
Y
Second Department of Surgery, Faculty of Medicine, University of Ryukyus, 207 Uehara Nishihara-cho, Okinawa 903-0215, Japan. kuni9244@med.u-ryukyu.ac.jp
Koja
Kageharu
K
Miyagi
Kazufumi
K
Uezu
Tooru
T
Yamashiro
Satoshi
S
Arakaki
Katuya
K
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*