The Cuff Technique for Reconstructing an Isolated Left Vertebral Artery in Total Arch-Replacement Surgery
DOI:
https://doi.org/10.1532/HSF98.20081085Abstract
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.References
Naito Y, Nakajima M, Inoue H, Mizutani E, Tsuchiya K. 2003. Successful treatment of a mycotic aortic arch aneurysm associated with an isolated left vertebral artery. J Thorac Cardiovasc Surg 126:883-5.nSong MH, Tokuda Y, Hirai M, Ueda Y. 2007. Learning curve of arch-first technique analyzed by cumulative sum. Asian Cardiovasc Thorac Ann 15:507-10.nSuzuki K, Kazui T, Bashar AH, et al. 2006. Total arch replacement in patients with arch vessel anomalies. Ann Thorac Surg 2006;81:2079-83.nSuzuki K, Kazui T, Bashar AH, Yamashita K, Terada H, Washiyama N. 2002. Total aortic arch replacement for thoracic aneurysm involving an isolated left vertebral artery. Jpn J Thorac Cardiovasc Surg 50:381-2.n
Published
2008-12-15
How to Cite
Song, M.-H., Nakayama, T., Hattori, K., Yoshida, Y., & Ueda, Y. (2008). The Cuff Technique for Reconstructing an Isolated Left Vertebral Artery in Total Arch-Replacement Surgery. The Heart Surgery Forum, 11(6), E380-E381. https://doi.org/10.1532/HSF98.20081085
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