title: Alternative perfusion technique without axillary artery cannulation during combined aortic root and total arch replacement.
abstract: This report describes an effective cerebral perfusion method using an additional 4th side limb graft sewn to a trifurcated graft in patients undergoing redo aortic root reconstruction combined with total aortic arch replacement. This method is useful in cases where the origin of the innominate artery is unsuitable for clamping or when axillary perfusion is not employed, and assures continuous brain protection and minimizes circulatory arrest time.
authors.affiliation: Division of Cardiac Surgery, Baystate Medical Center, Springfield, Massachusetts 01107, USA.
authors.forename: Abdallah K
authors.initials: AK
authors.lastname: Alameddine
authors.forename: V K
authors.initials: VK
authors.lastname: Alimov
authors.forename: J E
authors.initials: JE
authors.lastname: Flack
mesh_terms: D001011:Aorta / Q000601:surgery*; D001013:Aorta, Thoracic / Q000601:surgery*; D001366:Axillary Artery; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D016122:Brachiocephalic Trunk; D002545:Brain Ischemia / Q000517:prevention & control*; D002404:Catheterization; D050792:Circulatory Arrest, Deep Hypothermia Induced / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010477:Perfusion / Q000379:methods*; D012086:Reoperation; D014656:Vascular Surgical Procedures / Q000379:methods*