title: Simple and reliable distal anastomosis for total aortic arch replacement.
abstract: In total aortic arch replacement, distal aortic anastomosis is often remarkably difficult because of the deep operative field. Once bleeding from the anastomotic area occurs, it is intractable not only because of technical problems but also decreased coagulability due to deep hypothermia and the fragility of the aortic wall. We describe a simple but reliable strategy for distal anastomosis, which is unique with regard to the approach to the anastomotic area and the anastomotic method.
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan. aki-ohkado@ohkado-heart-clinic.com
authors.forename: Akihiko
authors.initials: A
authors.lastname: Ohkado
authors.forename: Akiko
authors.initials: A
authors.lastname: Tanaka
authors.forename: Akitoshi
authors.initials: A
authors.lastname: Yamada
authors.forename: Kyozo
authors.initials: K
authors.lastname: Inoue
authors.forename: Noboru
authors.initials: N
authors.lastname: Wakita
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects; D002315:Cardiopulmonary Bypass; D050792:Circulatory Arrest, Deep Hypothermia Induced; D005260:Female; D006801:Humans; D008297:Male; D016896:Treatment Outcome