Direct cannulation of arch vessels for total arch replacement

Fast – Track Total Arch Replacement

Total endograft replacement of aortic arch.

Total endovascular replacement of the aortic arch is a complex procedure that is often favoured when the pathology anatomy precludes a standard median sternotomy. Here we present the case of endograft repair in a 79 year old male with 6.5 cm arch aneurysm and 5.4 cm descending thoracoabdominal aneurysm. Following bilateral carotid-subclavian bypasses, a long 7 Fr sheath was advanced into the de...

Total arch replacement using antegrade cerebral perfusion for distal aortic arch aneurysm.

Total aortic arch replacement remains a complex surgical procedure, best practiced in high-volume aortic centers. The following report details the surgical procedure for total arch replacement with selective antegrade cerebral perfusion (SACP) for distal arch aneurysm. Following moderate hypothermic circulatory arrest and SACP, the distal arch, and then the proximal arch, is reconstructed, foll...

Reoperation for a giant arch anastomotic pseudoaneurysm eleven years after total arch replacement with island reconstruction

BACKGROUND The long-term effects of some surgical treatment procedures of arch replacement for aortic dissection or aortic aneurysm are unknown. CASE PRESENTATION The present study reports the case of a 68-year-old man admitted to our hospital for aortic arch anastomotic pseudoaneurysm with concomitant aortic root enlargement and coronary artery stenosis. Eleven years ago, at the age of 56 ye...

Outcome of total arch replacement with coronary artery bypass grafting.

OBJECTIVES There are few reports on the outcome of total arch replacement (TAR) with concomitant coronary artery bypass grafting (CABG); the present study was aimed at analysing outcomes after TAR with CABG at our institute. METHODS Between January 2002 and December 2012, 123 consecutive patients underwent elective TAR with or without CABG. The patients were divided into two groups: 46 who ha...