Simple and uniform technique for combined repair of aortic arch and root replacement.
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.
Taniguchi
Kazuhiro
K
Department of Cardiovascular Surgery, Japan Labour Health and Welfare Organization, Osaka Rosai Hospital, Sakai, Japan. kazuhiro@orh.go.jp
Kuki
Satoru
S
Takahashi
Toshiki
T
Masai
Takafumi
T
Toda
Koichi
K
Matsue
Hajime
H
Hata
Hiroki
H
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