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Thorac Cardiovasc Surg 2018; 66(03): 273-276
DOI: 10.1055/s-0036-1597593
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Georg Thieme Verlag KG Stuttgart · New York

No Clamp Complete Parachute Technique for Ascending Aorta Anastomosis in Hybrid Aortic Arch Debranching Surgery

I-Ming Chen
1   Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan
2   Department of Medicine, School of Medicine, National Yang-Ming University, Taiwan
,
Po-Lin Chen
1   Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan
2   Department of Medicine, School of Medicine, National Yang-Ming University, Taiwan
,
Hsiao-Huang Chang
1   Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan
2   Department of Medicine, School of Medicine, National Yang-Ming University, Taiwan
› Author Affiliations Funding None.
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Publication History

19 October 2016

10 November 2016

Publication Date:
03 January 2017 (online)

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Abstract

The proper proximal landing zone is a key element for success of endografting in thoracic aortic pathology. If coverage of innominate artery is unavoidable for safe proximal landing, arch debranching surgery is necessary to recruit supra-aortic blood flow before endografting. However, calcified or adhesive ascending aorta makes it difficult to clamp ascending aorta for anastomosis in the first step of arch debranching surgery. We present a novel “no clamp complete parachute technique” to complete this challenging anastomosis.

Keywords

arch debranching surgery - ascending aorta anastomosis - parachute technique
 

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