THE EFFICACY OF NON-CLAMPING SELECTIVE CEREBRAL PERFUSION IN DISTAL AORTIC-ARCH ANEURYSM REPAIR - REPORT OF A CASE

Successful repair of a distal aortic arch aneurysm without aortic cros s-clamping was carried out in a 74-year-old man, using a combination o f special separate cerebral perfusion and retrograde coronary perfusio n, termed non-clamping selective cerebral perfusion. We believe that s atisfactory results following aortic arch surgery in elderly patients can only be achieved through the prevention of emboli derived from an aortic cross-clamping site, and shortened ischemic time of the vital o rgans.