| A Successful Case of Axillo-Axillary
Bypass Grafting with Mild Hypothermia for High-Risk Subclavian
Steal Syndrome |
| Hideki Kitamura |
Kengo Nakayama |
Tadashi Kitano |
(Department of Cardiovascular Surgery, Shimane
Prefectural Central Hospital, Izumo, Japan)
|
A 67-year-old man, who had suffered
from right cerebral infarction that resulted in left hemiparesis,
underwent right superficial temporal artery-middle cerebral artery
anastomosis in 1991. From March 2000, dizziness occurred during
use of his right hand. His arteriogram revealed late filling
of the occluded right subclavian artery by reversed flow from
the right vertebral artery and 50% stenosis of the left internal
carotid artery. We performed subcutaneous axillo-axillary bypass
grafting with mild hypothermia on June 1st, 2000. An 8mm ePTFE
tube with a ring was anastomosed to both axillary arteries in
end-to-side fashion with continuous sutures. Thereafter, symptoms
disappeared. One month after the procedure, his arteriogram showed
that the bypass filled the right vertebral artery in an antegrade
fashion as well as the right axillary artery. Axillo-axillary
bypass grafting with mild hypothermia seemed to be safe and effective
for high-risk subclavian steal syndrome.
Jpn. J. Cardiovasc. Surg. 31：153-155(2002) |
|
