Total Aortic Arch Aneurysm Repair using a Stent Graft without Cardiac or Cerebral Ischemia

Junichi Naganuma, Mikio Ninomiya, Takeshi Miyairi, Yutaka Kotsuka, Shinichi Takamoto

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


A 74-year-old man with an aortic arch aneurysm and a chronic type IIIb aortic dissection underwent total aortic arch repair without cerebral or cardiac ischemia. After confirming no atheromatous change in the ascending aortic wall, a custom-designed 4-limbed graft, prepared for both arterial return of cardiopulmonary bypass and reconstruction of the arch vessels, was anastomosed onto the right side of the ascending aorta. The 3 arch vessels were then bypassed sequentially during systemic cooling and monitoring cerebral perfusion with near-infrared oxymetry. After aortic cross-clamping, a stent graft was inserted into the distal arch from the distal ascending aorta, maintaining cerebral and cardiac perfusion. This procedure is indicated especially in a high-risk patient who has an aortic arch aneurysm without severe atheromatous change in the ascending aorta and the arch vessels.

Original languageEnglish (US)
Pages (from-to)298-301
Number of pages4
JournalJapanese Journal of Thoracic and Cardiovascular Surgery
Issue number7
StatePublished - Jul 2002


  • Aortic arch aneurysm
  • Ischemia
  • Near-infrared oxymetry
  • Stent graft

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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