title: A Modified and Less Invasive Procedure in Aortic Arch Replacement.
abstract: Circulation arrest is widely used during total aortic arch replacement. However, the conventional procedures have high morbidity and mortality. We modified the hybrid procedure by optimizing the sequence of anastomosis between the graft and aorta. As a result, the time of extracorporeal circulation was obviously shortened, and cardiac arrest was needed only during the two anastomoses of the aorta with aorta graft main body. In addition, both circulation arrest and deep hypothermia were avoided. Leakage was also prevented by creating a lengthened sealing zone for stent graft deployment.
authors.affiliation: Department of Cardiovascular Surgery, Xiangya Haikou Hospital of Central South University, Haikou Municipal Hospital, Haikou Vascular Disease Research Institute, HaiKou city, China; SuiNing Central Hospital, SuiNing city, China. Electronic address: sinoratt@126.com.
authors.forename: Feng
authors.initials: F
authors.lastname: Gao
authors.affiliation: Department of Cardiovascular Surgery, Xiangya Haikou Hospital of Central South University, Haikou Municipal Hospital, Haikou Vascular Disease Research Institute, HaiKou city, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Cardiovascular Surgery, Xiangya Haikou Hospital of Central South University, Haikou Municipal Hospital, Haikou Vascular Disease Research Institute, HaiKou city, China.
authors.forename: Qian
authors.initials: Q
authors.lastname: Zeng
authors.affiliation: Department of Cardiovascular Surgery, Xiangya Haikou Hospital of Central South University, Haikou Municipal Hospital, Haikou Vascular Disease Research Institute, HaiKou city, China.
authors.forename: Fangming
authors.initials: F
authors.lastname: Lin
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans; D015607:Stents