Preoperative construction of an extracranial arterial shunt for resection of an aortic arch aneurysm with occluded left carotid artery Hisato Takagi,

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Presentation transcript:

Preoperative construction of an extracranial arterial shunt for resection of an aortic arch aneurysm with occluded left carotid artery Hisato Takagi, MD, PhD, Yoshio Mori, MD, PhD, Yukio Umeda, MD, PhD, Yukiomi Fukumoto, MD, PhD, Yoshimasa Mizuno, MD, Yasuhiko Kaku, MD, PhD, Noboru Sakai, MD, PhD, Hajime Hirose, MD, PhD The Annals of Thoracic Surgery Volume 76, Issue 4, Pages 1298-1301 (October 2003) DOI: 10.1016/S0003-4975(03)00477-6

Fig 1 Both chest computed tomography scanning (upper panel) and aortography (lower panel) showed a saccular aneurysm located in the minor curvature of the aortic arch. The Annals of Thoracic Surgery 2003 76, 1298-1301DOI: (10.1016/S0003-4975(03)00477-6)

Fig 2 Single-photon emission computed tomography scanning indicated that cerebral blood flow was decreased in the left temporal lobe (upper panel). A superficial temporal artery–middle cerebral artery (STA-MCA) anastomosis improved cerebral blood flow (lower panel). (Pre = before anastomosis; Post = after anastomosis.) The Annals of Thoracic Surgery 2003 76, 1298-1301DOI: (10.1016/S0003-4975(03)00477-6)

Fig 3 Single-photon emission computed tomography shows that reactivity of cerebral blood flow to acetazolamide was reduced in the left temporal lobe (upper panel). It was improved by a superficial temporal artery–middle cerebral artery (STA-MCA) anastomosis (lower panel). (Pre = before anastomosis; Post = after anastomosis.) The Annals of Thoracic Surgery 2003 76, 1298-1301DOI: (10.1016/S0003-4975(03)00477-6)