Ascending aortic and proximal hemiarch replacement with antegrade cerebral perfusion for a penetrating aortic ulcer

Melanie Arnreiter1, Barbara Karner1, Petra Srekl-Filzmaier1

  • 1Division of Cardiac Surgery, Department of Surgery, Medical University of Graz, Auenbruggerplatz 5/5, A-8036 Graz, Austria.

We report the surgical repair of a penetrating aortic ulcer in the distal ascending aorta close to the brachiocephalic trunk, by supracoronary ascending aortic and hemiarch replacement via a full sternotomy. The procedure is performed under moderate hypothermia with bilateral antegrade cerebral perfusion.