@article{3219947,
    title = "Is Left Innominate Vein Ligation during Aortic Arch Surgery Always Safe? A Case Report",
    author = "Schizas, N. and Patris, V. and Samiotis, I. and Nikoli, E. and Lama, N. and Argiriou, M.",
    journal = "Journal of Tehran University Heart Center",
    year = "2022",
    volume = "17",
    number = "1",
    pages = "26-28",
    publisher = "Tehran Heart Center",
    doi = "10.18502/jthc.v17i1.9322",
    keywords = "cortisone;  diuretic agent;  low molecular weight heparin;  mannitol, aged;  aortic arch surgery;  Article;  ascending aortic aneurysm;  brachiocephalic vein;  brain edema;  brain hemorrhage;  cardiopulmonary bypass;  case report;  clinical article;  computer assisted tomography;  echography;  female;  human;  left innominate vein ligation;  mortality;  thrombosis;  vein ligation",
    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. © 2022 Tehran University of Medical Sciences."
}