Simplified Zone 2 Arch Repair Using a Trifurcated Graft for Acute Type A Dissection.
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
07 2022
07 2022
Historique:
received:
13
08
2021
revised:
09
09
2021
accepted:
17
09
2021
pubmed:
29
10
2021
medline:
29
6
2022
entrez:
28
10
2021
Statut:
ppublish
Résumé
We report a simplified zone 2 arch repair using a trifurcated graft for acute type A aortic dissection. The right axillary artery is cannulated. After completion of proximal aortic repair using a 1-branched graft, a trifurcated graft is anastomosed to the ascending graft just above the proximal suture line or coronary buttons in case of Bentall procedure. Distal aortic anastomosis is performed at the zone 2 level under unilateral antegrade cerebral perfusion. Full cardiopulmonary bypass flow is resumed via the right axillary artery and ascending graft using both Y-shaped arterial limbs. The left common carotid and innominate arteries are sequentially anastomosed.
Identifiants
pubmed: 34710384
pii: S0003-4975(21)01763-X
doi: 10.1016/j.athoracsur.2021.09.047
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e67-e70Informations de copyright
Copyright © 2022 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.