title: [Reoperation for a giant aortic arch aneurysm using cervical cannulation of the common carotid artery for cerebral perfusion after the ascending aortic replacement; report of a case].
abstract: Reoperation for a giant thoracic aneurysm touching the sternum needs to be performed with special precautions. The patient was a 65-year-old man who had undergone ascending aortic replacement due to acute Stanford type A dissection 5 years previously. He visited an outpatient clinic after an interval of 4 years, and was diagnosed with an aortic arch aneurysm which was touching the sternum. Preoperative examinations suggested a high risk of rupture if resternotomy was performed. Therefore, we performed resternotomy under cardiopulmonary bypass. In addition, the left carotid artery was secured for cerebral perfusion through a neck incision, which enabled core cooling in case of uncontrollable hemorrhage. He successfully underwent aortic arch replacement, and he was discharged without any neurological complications.
authors.affiliation: Department of Cardiovascular Surgery, Nanbu Tokushukai Hospital, Okinawa, Japan.
authors.forename: Shigenobu
authors.initials: S
authors.lastname: Senaha
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Tozuka
authors.forename: Mitsuyoshi
authors.initials: M
authors.lastname: Shimoji
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Akasaki
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D001921:Brain / Q000098:blood supply; D017536:Carotid Artery, Common / Q000601:surgery*; D002404:Catheterization; D006801:Humans; D008297:Male; D010477:Perfusion