Simple and reliable distal anastomosis for total aortic arch replacement.
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.
Ohkado
Akihiko
A
Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan. aki-ohkado@ohkado-heart-clinic.com
Tanaka
Akiko
A
Yamada
Akitoshi
A
Inoue
Kyozo
K
Wakita
Noboru
N
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