title: Simple and uniform technique for combined repair of aortic arch and root replacement.
abstract: We present herein a simple and uniform repair technique for combined aortic arch and root aneurysms. Our method is performed under an open distal procedure and includes selective antegrade cerebral perfusion, adequate myocardial preservation, a four-branched composite valve graft, and a long elephant trunk anastomosis proximal to the innominate artery. The technique was designed to reduce morbidity and mortality associated with aortic arch and root replacements, as well as allow for easier performance of subsequent downstream operations.
authors.affiliation: Department of Cardiovascular Surgery, Japan Labour Health and Welfare Organization, Osaka Rosai Hospital, Sakai, Japan. kazuhiro@orh.go.jp
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Taniguchi
authors.forename: Satoru
authors.initials: S
authors.lastname: Kuki
authors.forename: Toshiki
authors.initials: T
authors.lastname: Takahashi
authors.forename: Takafumi
authors.initials: T
authors.lastname: Masai
authors.forename: Koichi
authors.initials: K
authors.lastname: Toda
authors.forename: Hajime
authors.initials: H
authors.lastname: Matsue
authors.forename: Hiroki
authors.initials: H
authors.lastname: Hata
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001012:Aorta, Abdominal / Q000601:surgery; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D016122:Brachiocephalic Trunk / Q000601:surgery; D002315:Cardiopulmonary Bypass / Q000379:methods; D019918:Heart Valve Prosthesis Implantation; D006801:Humans