[Cabrol's operation and the aortic arch replacement for Stanford type A dissecting aortic aneurysm]

Replacement of the aortic arch was performed simultaneously with Cabrol's operation utilizing modified selective cerebral perfusion (SCP) in a patient with a Stanford type A dissecting aortic aneurysm. Preoperative arteriography revealed that the dissection involved both common carotid arteries. For this reason, antegrade SCP was performed via the branches attached to the composite graft which were anastomosed to both of the common carotid arteries following clamping under deep hypothermia. The operation was successfully performed, and the patient's postoperative recovery was uneventful. This method of SCP is useful in the treatment of patients with prior difficulty or risk of cannulation.