Left axillary arterial perfusion for cerebrospinal protection in proximal descending aortic aneurysm

Masato Tochii; Motomi Ando; Yasushi Takagi; Mitsuru Yamashita; Ryo Hoshino; Kiyotoshi Akita

doi:10.1007/s11748-008-0304-1

Left axillary arterial perfusion for cerebrospinal protection in proximal descending aortic aneurysm

Gen Thorac Cardiovasc Surg. 2008 Dec;56(12):589-91. doi: 10.1007/s11748-008-0304-1. Epub 2008 Dec 16.

Authors

Masato Tochii¹, Motomi Ando, Yasushi Takagi, Mitsuru Yamashita, Ryo Hoshino, Kiyotoshi Akita

Affiliation

¹ Department of Cardiovascular Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan. [email protected]

PMID: 19085051
DOI: 10.1007/s11748-008-0304-1

Abstract

A 73-year-old man presented with DeBakey type IIIa chronic aortic dissection. The aneurysm of the descending aorta was replaced using an open proximal technique with hypothermic circulatory arrest. For cerebrospinal protection, the left axillary artery was cannulated, which perfuses the vertebral artery and affects the Willis arterial circle, the anterior spinal artery, and the collateral blood supply to the spinal cord. Cannulation of the left axillary artery was a safe and effective surgical option for antegrade cerebral perfusion and spinal protection.

Publication types

Case Reports

MeSH terms

Aged
Aortic Aneurysm, Thoracic / physiopathology
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / physiopathology
Aortic Dissection / surgery*
Axillary Artery*
Blood Vessel Prosthesis Implantation* / adverse effects
Catheterization, Peripheral*
Cerebrovascular Circulation*
Cerebrovascular Disorders / etiology
Cerebrovascular Disorders / prevention & control
Circulatory Arrest, Deep Hypothermia Induced
Humans
Male
Perfusion / methods*
Regional Blood Flow
Spinal Cord / blood supply*
Spinal Cord Ischemia / etiology
Spinal Cord Ischemia / prevention & control
Treatment Outcome