The cuff technique for reconstructing an isolated left vertebral artery in total arch-replacement surgery.
In total arch-replacement surgery, careful attention must be paid to the presence of anomalous arch vessels, because their presence may require surgeons to change the brain-protection strategy during deep hypothermic circulatory arrest and selective cerebral perfusion. The anomaly we most often encounter is an isolated left vertebral artery (ILVA). We describe a case involving a straightforward but physiological way of reconstructing the ILVA in which a cuff is hollowed together with the left subclavian artery.
Song
Min-Ho
MH
Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, Tajimi, Japan. son-minho@pref.gifu.lg.jp
Nakayama
Tomohiro
T
Hattori
Keisuke
K
Yoshida
Yayoi
Y
Ueda
Yuichi
Y
D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014711:Vertebral Artery / Q000601:surgery*