Is Left Innominate Vein Ligation during Aortic Arch Surgery Always Safe? A Case Report
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Abstract
Ligation of the left innominate vein (LIV) expands the surgeon’s surgical field for ascending aorta and aortic arch procedures. Although it is considered a safe technique by most surgeons in that it is associated with only minor drawbacks, conflicting views exist regarding this method. We herein describe a 70-year-old woman who underwent ascending aorta replacement due to an aneurysm with subsequent cerebral dysfunction caused by extended brain edema, possibly related to LIV ligation, leading to her death.
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4. McPhee A, Shaikhrezai K, Berg G. Is it safe to divide and ligate the left innominate vein in complex cardiothoracic surgeries? Interact Cardiovasc Thorac Surg 2013;17:560-563.
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2. Yonei A, Sari A. Reversal of blood flow in the internal jugular vein. Anesthesiology 1991;74:634-635.
3. Di Bartolomeo R, Pilato E, Pacini D, Savini C, Di Eusanio M. Cerebral protection during surgery of the aortic arch. Multimed Man Cardiothorac Surg 2011;mmcts.2010.004457.
4. McPhee A, Shaikhrezai K, Berg G. Is it safe to divide and ligate the left innominate vein in complex cardiothoracic surgeries? Interact Cardiovasc Thorac Surg 2013;17:560-563.
5. Wijdicks EF, Campeau N, Sundt T. Reversible unilateral brain edema presenting with major neurologic deficit after valve repair. Ann Thorac Surg 2008;86:634-637.
| Files | ||
| Issue | Vol 17 No 1 (2022): J Teh Univ Heart Ctr | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/jthc.v17i1.9322 | |
| Keywords | ||
| Brachiocephalic veins Brain edema Aortic aneurysm Ascending aorta Aorta; thoracic | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Schizas N, Patris V, Samiotis I, Nikoli E, Lama N, Argiriou M. Is Left Innominate Vein Ligation during Aortic Arch Surgery Always Safe? A Case Report. J Tehran Heart Cent. 2022;17(1):26-28.
