title: Aortic arch replacement using a trifurcated graft.
abstract: A critical consideration in the operative strategy for aortic arch replacement, how best to protect the brain while providing surgical access to the cerebral vessels, involves two key aspects: minimizing cerebral ischaemia and preventing cerebral embolization of air and atheromatous debris. We describe a technique, using a trifurcated branched graft, that combines hypothermic circulatory arrest, selective antegrade perfusion and axillary artery cannulation.
authors.affiliation: New York Medical College, Section of Cardiothoracic Surgery, Westchester Medical Center, Macy Pavilion 114W, Valhalla, NY 10595, USA.
authors.forename: David
authors.initials: D
authors.lastname: Spielvogel
keywords: Aneurysm; Aorta; Arch; Hypothermia