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Ann Thorac Surg 1992;54:161-163
© 1992 The Society of Thoracic Surgeons

Articles

Perfusion of dominant left subclavian artery during thoracic aortic aneurysm operation

Koki Tsuchida, MD*, Akimasa Hashimoto, MD, Masahiro Endo, MD, Hitoshi Koyanagi, MD

Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medical College, Tokyo, Japan

Accepted for publication October 28, 1991.

* Address reprint requests to Dr Tsuchida, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162, Japan.

A case of aneurysm of the descending thoracic aorta with dominant left vertebral artery and poor cross-collateral circulation is reported. We believe that in such a patient perfusion of the dominant left subclavian artery is a safe method to prevent vertebrobasilar ischemia during thoracic aortic aneurysm operation under normothermia.




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