Sakurada T, Kikuchi Y, Osawa H, Kusajima K
Department of Cardiovascular Surgery, National Obihiro Hospital, 16, West-18, North-2, Obihiro, Hokkaido 080-8518.
Ann Thorac Cardiovasc Surg. 1999 Feb;5(1):59-61.
A 73-year-old man with a ruptured distal aortic arch aneurysm into the pericardial space, mediastinum and right pleural space is described. The patient underwent a successful total aortic arch replacement using deep hypothermia, systemic circulatory arrest and selective cerebral perfusion. Extracorporeal circulation was established with right axillar arterial perfusion due to arteriosclerosis obliterans (ASO). Presentation and management are discussed.
