title: An interrupted technique for difficult distal anastomosis during arch surgery.
abstract: During aortic arch replacement, construction of the distal anastomosis represents the crucial step because of the time limit of circulatory arrest. If the aneurysmal neck is located at the level of the 5(th) thoracic vertebra, it becomes difficult to carry out through a sternotomy approach. We describe a case in which an interrupted suture technique, similar to that used for valve replacement, was employed to maximize the limited exposure and achieve a water-tight anastomosis.
authors.affiliation: Department of Cardiac Surgery, ARNAS, Palermo, Italy. follis99@hotmail.com
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Follis
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Filippone
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Montalbano
authors.forename: Luigi
authors.initials: L
authors.lastname: Centineo
authors.forename: Mario
authors.initials: M
authors.lastname: Finazzo
authors.forename: Marco
authors.initials: M
authors.lastname: Follis
mesh_terms: D000208:Acute Disease; D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome