title: Total arch replacement in a patient with an unusual vascular anatomy.
abstract: A 69-year-old man with a history of infectious abdominal aortic aneurysm, which had resulted in removal of the infrarenal abdominal aorta and bilateral axillofemoral bypass 9 years previously, underwent total arch replacement for an aortic arch aneurysm. The patient had the interrupted abdominal aorta and highly atherosclerotic proximal aorta, which precluded the possibility of endovascular stent grafting in combination with arch vessel debranching technique. Therefore, open arch repair was the only treatment option. The operation was successful with his axillofemoral bypass graft being exposed and used for arterial inflow during cardiopulmonary bypass, including integrated selective antegrade cerebral perfusion.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Mie, Japan. hisato.ito@gmail.com
authors.forename: Hisato
authors.initials: H
authors.lastname: Ito
authors.forename: Takatsugu
authors.initials: T
authors.lastname: Shimono
authors.forename: Reina
authors.initials: R
authors.lastname: Hojo
authors.forename: Akihito
authors.initials: A
authors.lastname: Muto
authors.forename: Koji
authors.initials: K
authors.lastname: Hirano
authors.forename: Yuka
authors.initials: Y
authors.lastname: Kondo
authors.forename: Shinji
authors.initials: S
authors.lastname: Kanemitsu
authors.forename: Hideto
authors.initials: H
authors.lastname: Shimpo
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures / Q000379:methods*