How to Clamp and Bypass if There Is Single Artery Supply to the Head and That Contains Severe Stenosis? Murat Ugurlucan, MD, Yilmaz Onal, MD, Didem Melis.

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Presentation transcript:

How to Clamp and Bypass if There Is Single Artery Supply to the Head and That Contains Severe Stenosis? Murat Ugurlucan, MD, Yilmaz Onal, MD, Didem Melis Oztas, MD, Omer Ali Sayin, MD, Kubilay Aydin, MD, Ufuk Alpagut, MD The Annals of Thoracic Surgery Volume 103, Issue 3, Pages e293-e295 (March 2017) DOI: 10.1016/j.athoracsur.2016.09.008 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Angiography of (A) the aortic arch and (B) the cervical region. Both subclavian and vertebral arteries and the left carotid artery are occluded, and there is severe stenosis of the right common carotid artery. The Annals of Thoracic Surgery 2017 103, e293-e295DOI: (10.1016/j.athoracsur.2016.09.008) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Ascending aorta to right common carotid artery long bypass with the help of an ascending aorta to external carotid artery bypass and pulsatile antegrade cerebral flow. The Annals of Thoracic Surgery 2017 103, e293-e295DOI: (10.1016/j.athoracsur.2016.09.008) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative (3 months) control computed tomography demonstrating patent ascending aorta to right and left carotid bypasses. The Annals of Thoracic Surgery 2017 103, e293-e295DOI: (10.1016/j.athoracsur.2016.09.008) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions