Conclusion Cerebral injury is a serious complication in the operation of AAA.For patient with atheromatous disease, additional methods to prevent perioperative embolic stroke are needed.

• 结论中枢神经系统的损害是主动脉弓瘤手术治疗的严重并发症，对粥样硬化所致的主动脉弓瘤，需采取更进一步的措施防止脑栓塞的发生。