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Aortic arch replacement by posterolateral exposure.

H H Scheld1, G Görlach, W Russ

  • 1Department Cardiovascular Surgery, Justus Liebig-University, Giessen, FRG.

The Thoracic and Cardiovascular Surgeon
|April 1, 1988
PubMed
Summary
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A novel surgical technique for aortic arch replacement using partial femoro-femoral bypass and hypothermic arrest proved safe and effective for treating aortic dissection. This method offers a protective alternative for complex aortic arch conditions.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Aortic arch dissection and aneurysms pose significant surgical challenges.
  • Traditional surgical approaches may involve complex procedures and risks.

Observation:

  • A 54-year-old male patient with unexpected type A aortic dissection underwent aortic arch replacement.
  • The procedure utilized partial femoro-femoral bypass and hypothermic arrest via a left posterolateral thoracotomy.
  • A Dacron graft was used for aortic arch replacement, with warm-up perfusion through a side arm prosthesis.

Findings:

  • The described surgical technique was successfully implemented in the patient.
  • The method demonstrated safety and protective benefits during the aortic arch replacement.

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Implications:

  • This technique offers a viable alternative for surgical treatment of aortic arch dissection.
  • It may be applicable to patients with aneurysms of the transverse aortic arch.
  • Further studies can explore the broader application and long-term outcomes of this approach.