title: The cuff technique for reconstructing an isolated left vertebral artery in total arch-replacement surgery.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Gifu Prefectural Tajimi Hospital, Tajimi, Japan. son-minho@pref.gifu.lg.jp
authors.forename: Min-Ho
authors.initials: MH
authors.lastname: Song
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Nakayama
authors.forename: Keisuke
authors.initials: K
authors.lastname: Hattori
authors.forename: Yayoi
authors.initials: Y
authors.lastname: Yoshida
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ueda
mesh_terms: 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*