Aortic Arch-Clamping Technique in Hemiarch Replacement Without Circulatory Arrest - 05/09/23

Doi : 10.1016/j.hlc.2023.04.292

Bo Jia, MD ^{^{1
contributed equally to this work.}}, Cheng Luo, MD ^{^{1
contributed equally to this work.}}, Chengnan Li, MD, Yipeng Ge, MD, Yongliang Zhong, MD, Zhiyu Qiao, MD, Haiou Hu, MD, Yi Yang, MD, Hai Yu, MD, Junming Zhu, MD ^⁎
Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China

^∗Corresponding author at: Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100029, ChinaDepartment of Cardiovascular SurgeryBeijing Aortic Disease CenterBeijing Anzhen HospitalCapital Medical UniversityBeijing100029China

Abstract

The open anastomosis technique has become more popular since it was first used in hemiarch replacement; however, hypothermic circulatory arrest is unavoidable. This institution performed a novel surgical technique called the arch-clamping technique. It has been used in the treatment of patients with ascending aortic aneurysm extending to the proximal aortic arch and avoids the use of hypothermic circulatory arrest. Thirty patients had a hemiarch replacement with the arch-clamping technique from 2021 to 2022; all of them were discharged uneventfully.

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Keywords : Aortic arch, Ascending aneurysm, Hemiarch replacement, Hypothermic circulatory arrest

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Introduction

Technique

Vascular Dissociation and Marking

Arterial Cannulation and Aortic Root Procedure

Application of Arch-Clamping Technique

Proximal Arch Anastomosis

Esportazione

Vol 32 - N° 8

P. e47-e50 - agosto 2023 Ritorno al numero

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Aortic Arch-Clamping Technique in Hemiarch Replacement Without Circulatory Arrest - 05/09/23

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