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Total arch replacement using antegrade cerebral perfusion for distal aortic arch aneurysm
1Division of Cardiovascular Surgery, Department of Surgery, Kobe University, Japan.
Annals of Cardiothoracic Surgery
|August 27, 2013
Abstract:
Total aortic arch replacement remains a complex surgical procedure, best practiced in high-volume aortic centers. The following report details the surgical procedure for total arch replacement with selective antegrade cerebral perfusion (SACP) for distal arch aneurysm. Following moderate hypothermic circulatory arrest and SACP, the distal arch, and then the proximal arch, is reconstructed, followed by re-implantation of epi-aortic vessels.