Abstract
In patients who have undergone coronary artery bypass with a left internal thoracic artery graft, clamping the aorta proximal to the left subclavian artery during descending thoracic and thoracoabdominal aortic aneurysm repair can precipitate major cardiac complications. Many centers use hypothermic circulatory arrest to obviate the need for aortic clamping in these cases. Herein, we describe the successful application of an alternative approach to this problem: performing left carotid-subclavian bypass before aneurysm repair. This technique allows aortic cross-clamping proximal to the left subclavian artery, prevents major intraoperative cardiac complications, and avoids cardiopulmonary bypass and hypothermic circulatory arrest.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.