Abstract
Patients with aortic pathology involving the ascending aorta, the arch, and the descending aorta present a complex surgical challenge. A one-step hybrid procedure with ascending aorta repair, arch debranching, and frozen elephant trunk is reported in five patients. Left subclavian artery side graft cannulation is used to perfuse the spinal cord during circulatory arrest time.
Highlights
The treatment of complex aortic pathology involving the ascending aorta, the arch, and the descending aorta at the same time represents a surgical challenge, with high postoperative morbidity and mortality
Left subclavian artery side graft cannulation is used to perfuse the spinal cord during circulatory arrest time
We describe a hybrid one-step procedure that simplifies the distal anastomosis and may reduce the risk of paraplegia through a continuous perfusion of the left subclavian artery (LSA) during the circulatory arrest time
Summary
The treatment of complex aortic pathology involving the ascending aorta, the arch, and the descending aorta at the same time represents a surgical challenge, with high postoperative morbidity and mortality. Patients with aortic pathology involving the ascending aorta, the arch, and the descending aorta present a complex surgical challenge. A one-step hybrid procedure with ascending aorta repair, arch debranching, and frozen elephant trunk is reported in five patients.
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