Novel technique for arch and visceral artery debranching using ascending aortic inflow.
Aortic arch aneurysms extending proximally to the left subclavian artery have traditionally been approached through a median sternotomy and a staged elephant trunk procedure requiring a left thoracotomy or thoracoabdominal incision. We describe a novel technique for repair of such aneurysms in a single-stage, hybrid approach using bypass grafts arising from the ascending aorta to all arch and upper abdominal visceral arteries followed by endovascular exclusion of the aortic aneurysm.
Mussa
Firas F
FF
Division of Vascular and Endovascular Surgery, New York University, New York, NY 10016, USA. firas.mussa@nyumc.org
Walkes
Jon-Cecil
JC
Lumsden
Alan B
AB
Reardon
Michael J
MJ
D001011:Aorta / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D008875:Middle Aged; D014057:Tomography, X-Ray Computed