title: Clampless and Sutureless Hybrid Technique for Aortic Arch Debranching on a Porcelain Aorta.
abstract: An innovative hybrid approach to the supraaortic vessels in a porcelain aorta and severe fibrotic tissue reaction at the neck is described. The technique is demonstrated in an 80-year-old woman with previous several carotid operations but still experiencing recurrent transient ischemic attacks. Clinical success was achieved at midterm follow-up, demonstrating the efficacy of hybrid treatment for this high-risk patient. Novel prosthetic vascular grafts that can be applied without cross-clamping may also provide a solution to approaching a porcelain aorta and difficult anatomies.
authors.affiliation: Humanitas Clinical and Research Hospital, Rozzano, Italy. Electronic address: giorgio.poletto@humanitas.it.
authors.forename: Giorgio L
authors.initials: GL
authors.lastname: Poletto
authors.affiliation: Humanitas Clinical and Research Hospital, Rozzano, Italy.
authors.forename: Liam
authors.initials: L
authors.lastname: Musto
authors.affiliation: Humanitas Clinical and Research Hospital, Rozzano, Italy.
authors.forename: Efrem
authors.initials: E
authors.lastname: Civilini
authors.affiliation: Humanitas Clinical and Research Hospital, Rozzano, Italy.
authors.forename: PierLuigi
authors.initials: P
authors.lastname: Giorgetti
mesh_terms: D000369:Aged, 80 and over; D000800:Angioplasty, Balloon / Q000009:adverse effects; D001013:Aorta, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D016122:Brachiocephalic Trunk / Q000473:pathology; D002114:Calcinosis / Q000601:surgery*; D002304:Cardiac Pacing, Artificial; D002311:Cardiomyopathy, Dilated / Q000150:complications; D002339:Carotid Arteries / Q000601:surgery; D005260:Female; D005355:Fibrosis; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D013536:Suture Techniques
chemical_list: D010975:Platelet Aggregation Inhibitors