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Ann Thorac Surg 1997;63:535-537
© 1997 The Society of Thoracic Surgeons

Case Report

Operation for Type B Aortic Dissection Using Hypothermic Selective Cerebral Perfusion

Keiichiro Tayama, MD, Hidetoshi Akashi, MD, Shuji Fukunaga, MD, Kenichi Kosuga, MD, Shigeaki Aoyagi, MD

Second Department of Surgery, Kurume University School of Medicine, Kurume, Japan

Accepted for publication August 13, 1996.

A 56-year-old man who had a huge type B dissecting aortic aneurysm extending from the distal arch to the thoracoabdominal aorta underwent replacement of the descending thoracic and thoracoabdominal aorta under hypothermic circulatory arrest with selective cerebral perfusion. The intercostal arteries at the T-8 to T-11 level were preserved with beveled distal anastomosis, and the celiac artery and the intercostal arteries at the T-5 and T-6 levels were reconstructed. The patient recovered uneventfully and is presently doing well 1 year after the operation.






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