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Ann Thorac Surg 1993;56:377-379
© 1993 The Society of Thoracic Surgeons


Articles

Management of an innominate artery aneurysm during an open heart operation

Mark S. Adkins, MD*,a,b, Wayne E. Games, MDa,b, Glenn W. Laub, MDa,b, William A. Anderson, MDa,b, Javier Fernandez, MDa,b, Lynn B. McGrath, MDa,b

a Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey, USA
b UMDNJ-Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

Accepted for publication October 22, 1992.

* Address reprint requests to Dr Adkins, Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, 200 Trenton Rd, Browns Mills, NJ 08015.

A 76-year-old woman was found to have a 4 x 2.5-cm saccular aneurysm at the origin of the innominate artery at the time of a reoperative open heart operation. The operative procedure was modified to include repair of the aneurysm with a Dacron patch. During the period of innominate artery occlusion, the patient was cooled to 25 °C and the mean arterial pressure was maintained at 90 mm Hg to maximize cerebral protection.




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