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A surgical technique for ascending aorta, aortic arch and descending aorta replacement without cross-clamp, circulatory arrest or hypothermia

  • Murat Ugurlucan (a1), Yahya Yildiz (a2), Mustafa O. Ulukan (a1), Didem M. Oztas (a3), Metin O. Beyaz (a1), Emin Canata (a1), Senay Coban (a4), Orcun Unal (a5), Korhan Erkanli (a1) and Halil Turkoglu (a1)...

Abstract

Treatment of the aneurysms comprising the aortic arch is challenging. Surgical reconstruction usually requires aortic cross-clamping, cardiac arrest, and even deep hypothermia for a bloodless field. In this report, we present our surgical technique providing normothermic ascending aorta, aortic arch, and proximal descending aorta replacement with selective cannulation and perfusion of the whole body.

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Corresponding author

Author for correspondence: Dr M. Ugurlucan, Department of Cardiovascular Surgery, Medipol Mega Universite Hastanesi, Kalp ve Damar Cerrahisi Klinigi, TEM Avrupa Otoyolu Goztepe Cikisi, No:1, 34214 Bagcilar, Istanbul, Turkey. Tel: +90 530 825 11 22; Fax: +90 212 521 23 77; E-mail: muratugurlucan@yahoo.com

References

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2.Matsuura, R, Tsutsumi, Y, Monta, O, et al.Reoperation for a giant arch anastomotic pseudoaneurysm eleven years after total arch replacement with island reconstruction. J Cardiothorac Surg 2018; 13: 6.
3.Nardi, A, Avrahami, I.Approaches for treatment of aortic arch aneurysm, a numerical study. J Biomech 2017; 50: 158165.
4.Uchino, G, Yunoki, K, Sakoda, N, Saiki, M, Hisamochi, K, Yoshida, H.Innominate artery cannulation for arterial perfusion during aortic arch surgery. J Card Surg 2017; 32: 110113.
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6.Kasama, K, Uchida, K, Karube, N, Takebayashi, S, Imoto, K, Masuda, M.Impact of isolated cerebral perfusion technique for aortic arch aneurysm repair in elderly patients. Ann Thorac Surg 2019; 107: 533538.
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Keywords

A surgical technique for ascending aorta, aortic arch and descending aorta replacement without cross-clamp, circulatory arrest or hypothermia

  • Murat Ugurlucan (a1), Yahya Yildiz (a2), Mustafa O. Ulukan (a1), Didem M. Oztas (a3), Metin O. Beyaz (a1), Emin Canata (a1), Senay Coban (a4), Orcun Unal (a5), Korhan Erkanli (a1) and Halil Turkoglu (a1)...

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