OPERATION FOR TYPE-B AORTIC DISSECTION USING HYPOTHERMIC SELECTIVE CEREBRAL PERFUSION

A 56-year-oId man who had a huge type B dissecting aortic aneurysm ext ending from the distal arch to the thoracoabdominal aorta underwent re placement of the descending thoracic and thoracoabdominal aorta under hypothermic circulatory arrest with selective cerebral perfusion. The intercostal arteries at the T-8 to T-11. level were preserved with bev eled distal anastomosis, and the celiac artery and the intercostal art eries at the T-5 and T-6 levels were reconstructed. The patient recove red uneventfully and is presently doing well 1 year after the operatio n. (C) 1997 by The Society of Thoracic Surgeons.