Abstract
Resection of a syphilitic aortic arch aneurysm in a 62-yearold woman was accomplished using a trifurcation temporary bypass system. The bifurcation graft was sutured end-to-side to the ascending thoracic aorta, to the brachiocephalic trunk and to the left common carotid artery, respectively. The attached third limb end was anastomosed end-to-side to the infrarenal abdominal aorta. This technique enabled a larger shunt into the abdominal aorta. Occlusion of the iliac arteries proved to be effective in coping with hypotension while attending to the bypass and the volume replacement. The post-operative recovery was uneventful and the patient has remained well after 43 months.
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Okumori, M., Konno, S., Kondo, N. et al. Successful resection of an aortic arch aneurysm using a temporary trifurcation bypass graft. The Japanese Journal of Surgery 11, 95–99 (1981). https://doi.org/10.1007/BF02468876
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DOI: https://doi.org/10.1007/BF02468876