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Off-pump debranching with hybrid aortic arch repair
Sergey Boldyrev1,2, Akhmedov Sarvarbek2, Chibirov Saslan1
1Department of Adult Cardiac Surgery, Regional Clinic Hospital #1, Krasnodar, Russia
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|April 29, 2026
Summary
This video demonstrates aortic debranching with an off-pump technique via mini J-sternotomy. It covers stenting of the aortic arch and descending aorta for complex aortic disease.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Aortic arch and descending aorta pathologies require complex surgical solutions.
- Minimally invasive approaches are increasingly preferred for thoracic aortic surgery.
Purpose of the Study:
- To present a novel video tutorial detailing an off-pump aortic debranching technique.
- To illustrate the application of upper mini J-sternotomy for aortic arch and descending aorta stenting.
Main Methods:
- Video demonstration of an innovative off-pump aortic debranching procedure.
- Utilizing an upper mini J-sternotomy for improved surgical access.
- Performing stenting of the aortic arch and descending aorta.
Main Results:
- Successful execution of aortic debranching without cardiopulmonary bypass.
- Demonstration of feasibility for stenting the aortic arch and descending aorta.
- Visual guide for a minimally invasive surgical approach.
Conclusions:
- Upper mini J-sternotomy facilitates an off-pump aortic debranching technique.
- This method offers a minimally invasive option for aortic arch and descending aorta stenting.
- The video serves as an educational resource for complex aortic interventions.
