[Perfusion Methods and Reconstruction Techniques for Performing Aortic Arch Surgery with Isolated Left Vertebral Artery].
Kyobu Geka
; 77(5): 341-344, 2024 May.
Article
in Ja
| MEDLINE
| ID: mdl-38720601
ABSTRACT
In our institution, when we perform aortic arch surgery with isolated left vertebral artery using an extracorporeal circulation, we select an interposed saphenous vein graft technique. This technique has a relatively short clamping time and allows for selective cerebral perfusion and flexible choice of reconstruction site. Although other techniques, such as an island reconstruction, have been reported, we do not perform it often due to its longer ischemic time of the left vertebral artery. On the other hand, we use a direct reconstruction technique in cases where an extracorporeal circulation is not used. This direct reconstruction technique in cases of isolated left vertebral artery could reduce the time and number of clamping it.
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Database:
MEDLINE
Main subject:
Aorta, Thoracic
/
Vertebral Artery
Limits:
Humans
Language:
Ja
Journal:
Kyobu Geka
Year:
2024
Type:
Article
Affiliation country:
Japan