Abstract
We performed off-pump ascending-to-descending aortic grafting with the debranching of left carotid and subclavian arteries and total aortic arch transection in three patients. We have called this technique “Penza's Surgical Maneuver” and propose it for a safe surgery in cases where the aortic arch, the aortic isthmus, the beginning segment of the descending aorta, the esophagus, and a lung are diseased.
Highlights
Simultaneous thoracic aorta, lung, and esophagus resection remain quite a rare procedure, mainly because of the high technical complexity of the surgery and the need for cardiopulmonary bypass (CPB) or extracorporeal membrane oxygenation.[1]
We propose a unified surgical approach we have called “Penza’s Surgical Maneuver (PSM).”
The main purpose of this technique is to prepare an aortic segment that is safe for surgery and includes the following: (1) aortic arch, (2) aortic isthmus, and (3) beginning segment of descending aorta
Summary
Simultaneous thoracic aorta, lung, and esophagus resection remain quite a rare procedure, mainly because of the high technical complexity of the surgery and the need for cardiopulmonary bypass (CPB) or extracorporeal membrane oxygenation.[1]. We performed off-pump ascending-to-descending aortic grafting with the debranching of left carotid and subclavian arteries and total aortic arch transection in three patients.
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