OBJECTIVES Endovascular stent grafts (SGs) comprise a novel therapeutic approach to repairing aortic aneurysms. However, endovascular repair of the aortic arch remains challenging. Generally, the repair of sites with SGs requires an extra-anatomical bypass. We introduced SG repair of the aortic arch with strategically positioned fenestrations for each arch branch in 2006. An extra-anatomical by...

A LOCALIZED NARROWING of the IAJL aorta at or distal to the ductus arteriosus (coaretation of the adult type) is one of the most comnlon congenital nmalformations of the great vessels. A narrowing of the aorta proximal to a patent ductus arteriosus (coaretation of the infantile type) is less commoni, while complete interruption of the aorta proximal to the ductus is quite rare, and interruption...

A LOCALIZED NARROWING of the IAJL aorta at or distal to the ductus arteriosus (coaretation of the adult type) is one of the most comnlon congenital nmalformations of the great vessels. A narrowing of the aorta proximal to a patent ductus arteriosus (coaretation of the infantile type) is less commoni, while complete interruption of the aorta proximal to the ductus is quite rare, and interruption...

The morphology of the aortic arch and its branches deserves special attention. have a different sequence sometimes patterns discharge depending on type animal. All mammals left that emerges from ventricle heart. remnant right is subclavian artery, which may originate brachiocephalic trunk, or independently arch. use computed tomography magnetic resonance imaging, angiography with intravenous co...

Carotid arterial system are vessels of head and neck region. Comprehensive understanding on its branching configuration is considerable importance to avoid accidental injury during surgical interventions. Common carotid artery (CCA) usually bifurcates into external (ECA) internal (ICA) at level upper border thyroid cartilage. Normally ECA lies anteromedial ICA commencement provides branches, bu...

This article describes the surgical techniques demonstrated in our video, “Total arch replacement (TAR) with selective antegrade cerebral perfusion (SACP) and mild hypothermic circulatory arrest” (Video 1). The aortic arch is the most common location for the development of aortic aneurysms. These aneurysms are often located close to the brachiocephalic vessels, and atheromatous plaque and throm...

Background The aortic arch is wide, compliant, and mobile. Its flow rate is high and its branches supply an organ, the brain, with no tolerance for ischemia. In this location, an endovascular stent graft is difficult to deliver, difficult to secure, and prone to fatigue fracture, graft erosion, or migration. The only advantage is the opportunity for downstream access to vital arterial branches,...