Graft replacement for massive mobile embolic source in brachiocephalic artery.
A 76-year-old woman presented with multiple brain infarctions in the right middle cerebral artery and vertebral artery area. Carotid sonography revealed a large mobile pedunculated mass in the brachiocephalic artery, which showed rapid growth despite treatment with heparin and aspirin. Graft replacement of the brachiocephalic artery was performed under selective cerebral perfusion with deep hypothermia. Histology of the resected specimen revealed aortic atherosclerotic plaque.
Oishi
Yasuhisa
Y
Department of Cardiovascular Surgery, Kyushu Medical Center, Fukuoka, Japan.yooo@heart.med.kyushu-u.ac.jp
Hirahara
Nana
N
Takaseya
Toru
T
Kawara
Takemi
T
Yasaka
Masahiro
M
Morita
Shigeki
S
D000368:Aged; D001018:Aortic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D050197:Atherosclerosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D050792:Circulatory Arrest, Deep Hypothermia Induced; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D020766:Intracranial Embolism / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D010477:Perfusion / Q000379:methods; D012008:Recurrence; D016896:Treatment Outcome; D014463:Ultrasonography; D014715:Vertebrobasilar Insufficiency / Q000209:etiology* / Q000473:pathology / Q000601:surgery