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Reconstruction of the carotid artery using a temporary shunt during an operation for advanced thyroid carcinoma —A case report—

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Abstract

A case of a patient who required reconstruction of the carotid artery during a radical operation for advanced thyroid cancer is reported herein. The patient, a 64-year-old female who had had three previous operations for thyroid cancer, underwent a two-stage operation. In the first stage, the left cervical lymphnodes were dissected, but as a large metastatic node invading the left carotid artery could not be completely removed, some carcinoma tissue was left attached to the wall of the artery. The second stage involved a temporary shunt being set up between the common carotid artery and the internal carotid artery following heparinization, after which the invaded portion was resected, and the defect patched with a saphenous vein graft. Monitoring with a Doppler flow-meter and EEG were conducted throughout the operation. At present, cancer has recurred in the left submandibular and supraclavicular regions.

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Authors and Affiliations

  1. The Second Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, 390, Matsumoto, Japan

    Shinya Kobayashi MD, Makoto Miyakawa, Akira Sugenoya, Tamotsu Yokozawa, Osamu Senga, Gengo Kaneko, Yoshio Kasuga & Futoshi Iida

  2. The Department of Neurosurgery, Shinshu University School of Medicine, 3-1-1 Asahi, 390, Matsumoto, Japan

    Shigeaki Kobayashi & Noriki Takemae

Authors
  1. Shinya Kobayashi MD
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  2. Makoto Miyakawa
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  3. Akira Sugenoya
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  4. Tamotsu Yokozawa
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  5. Osamu Senga
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  6. Gengo Kaneko
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  7. Yoshio Kasuga
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  8. Futoshi Iida
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  9. Shigeaki Kobayashi
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  10. Noriki Takemae
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Kobayashi, S., Miyakawa, M., Sugenoya, A. et al. Reconstruction of the carotid artery using a temporary shunt during an operation for advanced thyroid carcinoma —A case report—. The Japanese Journal of Surgery 18, 592–594 (1988). https://doi.org/10.1007/BF02471495

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  • DOI: https://doi.org/10.1007/BF02471495

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