Non-anatomical bypass using cardiopulmonary bypass for aberrant right subclavian artery with dysphagia.

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  • 嚥下障害を伴う右鎖骨下動脈起始異常に対し人工心肺下に非解剖学的バイパス術を施行した一例
  • エンカ ショウガイ オ トモナウ ミギ サコツ カ ドウミャクキシ イジョウ ニ タイシ ジンコウ シンハイ カ ニ ヒカイボウガクテキ バイパスジュツ オ シコウ シタ イチレイ

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Description

<p>　Aberrant right subclavian artery (ARSA) that is located in the last branch of the aortic arch is a relatively rare developmental anomaly. Surgical treatment is considered when the patient has symptoms of esophageal or tracheal compression; however, the conventional surgical procedure is not established. Therefore, anesthesiologist needs to understand surgical procedures and reconstruction methods in advance. We report a case that had several anomalies of the aortic arch branch, such as ARSA, bicarotid trunk, and aberrant branching of left vertebral artery, and in which the surgical procedure and necessity of reconstruction may change due to intraoperative findings. To avoid ischemia in the right upper limb and posterior cerebral circulation, it is necessary to continuously monitor settings of invasive arterial blood pressure, cerebral perfusion pressure, and brain regional oxygen saturation.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 27 (1), 13-18, 2023-09-01

    Japanese Society of Cardiovascular Anesthesiologists

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