title: A novel arch-first T-graft technique for extensive aortic arch reconstruction.
abstract: To reduce the morbidity and mortality associated with extensive aortic arch replacement, the reconstruction technique is the most important part of the treatment. By refining the present techniques, we developed an arch-first T-graft technique. This technique provides a more reasonable arrangement of procedures, least brain ischemic time, less low-body ischemic time, and an easy way of distal aortic anastomosis. This method is performed through a traditional median sternotomy, keeps the lung free from manipulation, and avoids severe kink of major vascular grafts.
authors.affiliation: Cardiovascular Center of Taichung Veterans General Hospital, Taichung City, Taiwan.
authors.forename: Shih-Rong
authors.initials: SR
authors.lastname: Hsieh
authors.forename: Chien-Chang
authors.initials: CC
authors.lastname: Chen
authors.forename: Hao-Ji
authors.initials: HJ
authors.lastname: Wei
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D016122:Brachiocephalic Trunk / Q000601:surgery; D002315:Cardiopulmonary Bypass; D017536:Carotid Artery, Common / Q000601:surgery; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D011474:Prosthesis Design; D013348:Subclavian Artery / Q000601:surgery
chemical_list: D011093:Polyethylene Terephthalates