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Related Experiment Video

Updated: May 5, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

"Head First" approach streamlines aortic arch replacement.

Bo Chang Brian Wu^1,2, Drake S Rosenberg², Meghan Skalicky²

¹Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, Colo.

JTCVS Techniques

|February 9, 2026

Summary

This summary is machine-generated.

The "Head First" graft technique shows acceptable outcomes for complex aortic arch repair, prioritizing cerebral protection and efficient reconstruction. This method may improve technical feasibility in aortic replacement surgeries.

Keywords:

Head First graft aortic arch replacement cerebral protection stroke trifurcated graft

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Last Updated: May 5, 2026

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Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Vascular Surgery

Background:

The "Head First" graft technique is increasingly favored for aortic replacement.
Evaluating its safety and efficacy in complex aortic arch repair is crucial.

Purpose of the Study:

To assess the performance and safety of the "Head First" technique in zone 2 or more extensive aortic arch replacement.
To focus on operative efficiency, cerebral protection, and outcomes in open arch repair.

Main Methods:

Retrospective review of 150 patients undergoing "Head First" aortic arch repair (August 2020 - March 2025).
Comparison of perioperative variables between acute type A aortic dissection and elective repair groups.
Logistic regression analysis to identify stroke risk factors.

Main Results:

Overall disabling stroke rate was 10.7%, and 30-day mortality was 16.7%.
Patients with acute type A aortic dissection experienced longer bypass and circulatory arrest times but similar stroke rates compared to elective cases.
Male gender was found to be independently protective against stroke.

Conclusions:

The "Head First" approach offers acceptable outcomes for complex aortic arch replacement.
It facilitates effective cerebral protection and efficient reconstruction, potentially improving technical feasibility.