Unilateral brachial artery antegrade selective cerebral perfusion following carotid endarterectomy for carotid, coronary, and aortic aneurysmal surgery.
In the presence of multiple concomitant occlusive and aneurysmal diseases, selection of the brain protection method is a primary concern. A case with a disease triad of stenotic lesions in internal carotid arteries, coronary artery atherosclerosis, and an ascending-arcus aorta aneurysm is presented. We simultaneously performed right carotid endarterectomy, coronary artery bypass grafting, and graft replacement of the ascending-arcus aorta. Brain protection was achieved with continuous right brachial artery antegrade selective cerebral perfusion under moderate hypothermia, following carotid endarterectomy. The operative technique is detailed and antegrade selective cerebral perfusion following the carotid endarterectomy for aneurysmal surgery is discussed.
Saritas
Ahmet
A
Turkiye Yuksek Ihtisas Hospital, Cardiovascular Surgery Clinic, Ankara, Turkey.
Yavas
Soner
S
Kervan
Umit
U
Demirtas
Ertan
E
Ulus
Ahmet T
AT
D000368:Aged; D001014:Aortic Aneurysm / Q000601:surgery*; D001916:Brachial Artery / Q000601:surgery*; D002339:Carotid Arteries / Q000601:surgery*; D002340:Carotid Artery Diseases / Q000601:surgery*; D002560:Cerebrovascular Circulation; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans; D008297:Male; D006435:Renal Dialysis; D013997:Time Factors