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Asian Cardiovasc Thorac Ann 2008;16:e58-e59
© 2008 Asia Publishing EXchange Ltd

CASE STUDIES

Graft Replacement for Massive Mobile Embolic Source in Brachiocephalic Artery

Yasuhisa Oishi, MD, Nana Hirahara, MD, Toru Takaseya, MD, Takemi Kawara, MD, Masahiro Yasaka, MD1, Shigeki Morita, MD

Department of Cardiovascular Surgery
1 Cerebrovascular Center and Clinical Research Institute, National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan

For reprint information contact: Yasuhisa Oishi, MD Tel: 81 92 642 5557 Fax: 81 92 642 5566 Email: yooo{at}heart.med.kyushu-u.ac.jp. Department of Cardiovascular Surgery, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.

A 76-year-old woman presented with multiple brain infarctions in the right middle cerebral artery and vertebral artery area. Carotid sonography revealed a large mobile pedunculated mass in the brachiocephalic artery, which showed rapid growth despite treatment with heparin and aspirin. Graft replacement of the brachiocephalic artery was performed under selective cerebral perfusion with deep hypothermia. Histology of the resected specimen revealed aortic atherosclerotic plaque.






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