Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Video

Updated: May 8, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Total aortic arch replacement: current approach using the trifurcated graft technique.

Scott A LeMaire1, Scott A Weldon, Joseph S Coselli

  • 1Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA; ; Cardiovascular Surgery Service, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas, USA.

Annals of Cardiothoracic Surgery
|August 27, 2013
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Outcomes after elective total aortic arch replacement: Does obesity matter?

JTCVS open·2026
Same author

Ciprofloxacin Exposure Promotes Aortic Dissection and Arterial Rupture in a Mouse Model of Vascular Ehlers-Danlos Syndrome.

Annals of surgery·2026
Same author

Timing Isn't Everything: Rethinking Mortality Risk in Type A Aortic Dissection Surgery.

Interdisciplinary cardiovascular and thoracic surgery·2026
Same author

Ten-year outcomes of valve-replacing versus valve-sparing aortic root replacement in patients with Marfan syndrome: An observational multicenter study.

The Journal of thoracic and cardiovascular surgery·2026
Same author

Long-term echocardiographic and clinical outcomes after aortic root replacement in patients with Marfan syndrome.

The Journal of thoracic and cardiovascular surgery·2026
Same author

Late failure of endovascular aortic repair: Indications for and outcomes of endograft explantation.

The Journal of thoracic and cardiovascular surgery·2026

Surgical techniques for transverse aortic arch aneurysms have advanced, improving patient outcomes. Current methods use innominate artery cannulation and antegrade cerebral perfusion, reducing risks associated with circulatory arrest.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Thoracic Surgery

Background:

  • Transverse aortic arch aneurysms pose significant surgical risks.
  • Historical surgical approaches involved high morbidity and mortality.

Purpose of the Study:

  • To describe modern surgical techniques for total aortic arch replacement.
  • To highlight advancements in cerebral protection strategies during aortic arch surgery.

Main Methods:

  • Shift from femoral cannulation to innominate artery cannulation.
  • Transition from retrograde to antegrade cerebral perfusion with bilateral monitoring.
  • Adoption of moderate hypothermia (18-23°C) and trifurcated graft (Y-graft) techniques.

Main Results:

Keywords:
Aortic arch surgerytotal arch replacementtrifurcated graft

Related Experiment Videos

Last Updated: May 8, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

  • Antegrade cerebral perfusion with moderate hypothermia enhances cerebral protection.
  • Y-graft techniques simplify branch reattachment and minimize residual tissue.
  • Improved perfusion strategies allow for extended circulatory arrest times without cerebral damage.

Conclusions:

  • Modern surgical techniques have significantly improved safety and efficacy in treating transverse aortic arch aneurysms.
  • Antegrade cerebral perfusion and moderate hypothermia are key to successful outcomes.
  • The trifurcated graft technique offers patient-specific advantages for aortic arch reconstruction.