Surgical treatment for brachiocephalic artery aneurysm with Takayasu arteritis using isolated cerebral perfusion: a case study

Abstract Background Takayasu arteritis (TA) is a chronic inflammatory disease that induces stenosis, occlusion, or aneurysmal degeneration of the aorta and its major branches. Though rarely reported, proximal lesions from aortic root to arch are more common in Asian populations than Western populations. In surgical treatment TA, anastomotic aneurysm can be problematic. Furthermore, atherosclerotic complications should considered for elderly TA patients. Case presentation Here, we report case brachiocephalic artery (BCA) with which was successful. it solely lesion artery, after considering patient’s clinical background features chose partial replacement. Further, avoidance aneurysm, both distal anastomosis were reinforced Teflon felt strips. Preoperative computed tomography detected severe changes vessels. The patient underwent replacement using isolated cerebral perfusion (ICP) brain protection recovered without any neurological deficits. Conclusions reinforcement introduced. ICP effective changes.