title: Brachio-cephalic revascularization from the intrathoracic aorta: use of a T-piece graft.
abstract: Ready made T-piece dacron grafts have been available for some time for use in axillo-bifemoral procedures. This report illustrates the use of such a graft in two cases of brachiocephalic revascularization from the intrathoracic aorta. In each case the aortic arch branches were severely diseased. The technique allows placement of the 8 mm diameter limb on the ascending aorta deep to the sternum, where, because of its lack of bulk, it can sit without compression. The 8 mm side piece can be manoeuvred to follow any direction required and avoids placement of an anastomosis in an otherwise awkward area. If required, a third limb can be sutured onto the proximal limb beyond the region where compression would occur.
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery*; D001161:Arteriosclerosis / Q000601:surgery; D002339:Carotid Arteries / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006085:Graft Survival; D006801:Humans; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011859:Radiography
chemical_list: D011093:Polyethylene Terephthalates