Hirose Tomoaki, Tabayashi Nobuoki, Yoshikawa Yoshiro, Abe Takehisa, Naito Hiroshi, Hayata Yoshihiro, Yamashita Keigo, Taniguchi Shigeki
Department of Thoracic and Cardiovascular Surgery, Nara Medical University School of Medicine, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan.
Gen Thorac Cardiovasc Surg. 2012 Apr;60(4):225-7. doi: 10.1007/s11748-011-0809-x. Epub 2012 Mar 28.
A 79-year-old man with no history of trauma complained of a sudden onset of headache and backache. Computed tomography showed an isolated dissecting aneurysm 4 cm in diameter associated with contained rupture at the takeoff region of the brachiocephalic artery. Surgery was performed on an emergent basis. The proximal aortic arch was successfully replaced using antegrade selective cerebral perfusion. The patient was easily weaned from cardiopulmonary bypass and recovered uneventfully.