Article

[A surgical treatment of ruptured arch aneurysm].

Department of Cardiovascular Surgery, Saga Medical College, Saga, Japan.
Kyobu geka. The Japanese journal of thoracic surgery 05/1994; 47(4):268-71. pp.268-71
Source: PubMed

ABSTRACT A 83-year-old woman was admitted to our hospital because of back pain and shock. Her chest X-ray and CT scan demonstrated a large arch aneurysm and hemothorax, suggesting ruptured aortic arch aneurysm. The ruptured aortic arch aneurysm was replaced with a woven Dacron graft under selective cerebral perfusion (SCP). Her postoperative course was uneventful without any neurological deficits. For the past three years, we have utilized SCP in 12 cases of arch aneurysms. There were three early deaths in this series. The cause of death were bleeding in one patient and cerebral accident in two patients. The latter two patients had severe atheromatous changes in the aortic wall. The SCP technique was a useful method of cerebral protection, especially for elderly patient with aortic arch aneurysm.

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Keywords

83-year-old woman
 
aortic arch aneurysm
 
aortic wall
 
arch aneurysms
 
cerebral accident
 
cerebral protection
 
chest X-ray
 
large arch aneurysm
 
neurological deficits
 
postoperative course
 
ruptured aortic arch aneurysm
 
SCP
 
SCP technique
 
selective cerebral perfusion
 
three years
 
useful method
 
woven Dacron graft
 

H Sakai