title: Modified four-branched graft technique without circulatory arrest and antegrade thoracic endovascular aortic repair for extensive thoracic aorta reconstruction.
abstract: A modified technique is described, using four-branched graft for proximal aortic repair without the need of deep hypothermic circulatory arrest, and simultaneously using antegrade stent-graft implantation for thoracic endovascular aortic repair of distal aorta in patients with extensive aortic aneurysm, acute type A aortic dissection, and chronic type B dissecting aneurysm. A good surgical field was obtained in 6 patients in this report, and no hospital mortality developed. The modified four-branched graft technique with no circulatory arrest provided good short-term outcome for proximal aorta repair, and the single-stage operation combined with antegrade thoracic endovascular aortic repair is feasible and effective to extend the repair down to the descending aorta.
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan. m000678@ms.skh.org.tw
authors.forename: Chia-Hsun
authors.initials: CH
authors.lastname: Lin
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D050792:Circulatory Arrest, Deep Hypothermia Induced; D000075202:Contraindications; D003937:Diagnosis, Differential; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D019651:Plastic Surgery Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed