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Surgery Today

, Volume 24, Issue 4, pp 371–374 | Cite as

The efficacy of non-clamping selective cerebral perfusion in distal aortic arch aneurysm repair: Report of a case

  • Kenji Okada
  • Kyoichi Ogawa
  • Tatsuro Asada
  • Nobuhiko Mukohara
  • Masami Nishiwaki
  • Tetsuya Higami
  • Takaki Sugimoto
Case Reports

Abstract

Successful repair of a distal aortic arch aneurysm without aortic cross-clamping was carried out in a 74-year-old man, using a combination of special separate cerebral perfusion and retrograde coronary perfusion, termed non-clamping selective cerebral perfusion. We believe that satisfactory results following aortic arch surgery in elderly patients can only be achieved through the prevention of emboli derived from an aortic cross-clamping site, and shortened ischemic time of the vital organs.

Key Words

distal aortic arch aneurysm non-clamping selective cerebral perfusion prevention of embolus 

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • Kenji Okada
    • 1
  • Kyoichi Ogawa
    • 1
  • Tatsuro Asada
    • 1
  • Nobuhiko Mukohara
    • 1
  • Masami Nishiwaki
    • 1
  • Tetsuya Higami
    • 1
  • Takaki Sugimoto
    • 1
  1. 1.The Division of Cardiovascular SurgeryHyogo Brain and Heart CenterHimeji, HyogoJapan

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