Asian Cardiovasc Thorac Ann 2004;12:374-375
© 2004 Asia Publishing EXchange Ltd
The Prevention of Nerve Injury in Aortic Arch Aneurysmal Surgery
Yukio Kuniyoshi, MD,
Kageharu Koja, MD,
Kazufumi Miyagi, MD,
Tooru Uezu, MD,
Satoshi Yamashiro, MD,
Katuya Arakaki, MD
Second Department of Surgery, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan
For reprint information contact: Yukio Kuniyoshi, MD Tel: 81 98 895 1168 Fax: 81 98 895 1422 Email: kuni9244{at}med.u-ryukyu.ac.jp Second Department of Surgery, Faculty of Medicine, University of Ryukyus, 207 Uehara Nishihara-cho, Okinawa 903-0215, Japan.
In a case of aortic arch aneurysm associated with adhesion to the surrounding structures, we devised an operative technique to avoid nerve injury during the surgical procedure. By preserving the adventitial layer of the aortic arch aneurysm to which the phrenic and recurrent nerves were attached, injury to the nerves was avoided, and the aneurysmectomy was completed with the distal anastomosis being performed intraluminally.
Copyright © 2004 by the Asia Publishing EXchange Ltd.
