A Case of One-Stage Operation for Brachiocephalic Aneurysm and Aortic Regurgitation Associated with Aortitis Syndrome

(Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Kagawa, Japan and Department of Cardiovascular Surgery, Hiroshima City Hospital*, Hiroshima, Japan)

Hideki Morita Hideo Yoshida* Toru Morimoto
Teiji Jinno Mamoru Tago Masataka Yamane
A 31-year-old woman had an aneurysm of the brachiocephalic artery and aortic regurgitation due to aortitis syndrome. As C-reactive protein (CRP) levels were high (27.5mg/dl), steroid therapy was initiated. After CRP became negative, the brachiocephalic aneurysm was repaired using a GELWEAVE® Y-graft, and the aortic valve was replaced with an ATS® mechanical valve. Regional cerebral oxygenation (rSO2) was monitored during the operative period. The level of rSO2 did not change during the period when the brachiocephalic artery was clamped, resulting in no cerebral damage after the operation. Hornerfs syndrome appeared after the operation but the symptoms gradually improved spontaneously. A mechanical valve was chosen because the patient did not want to undergo a reoperation. No cerebrovascular event occurred after the operation and the patient was discharged on the 28th postoperative day.
@Jpn. J. Cardiovasc. Surg. 33: 348-351 (2004)