Abstract
When performing translocated total arch replacement using a frozen elephant trunk, the closure of supra-aortic vessels’ stump may be necessary. Herein, we describe the application of a nonabsorbable polymer Hem-o-lok clip for the closure of the stump. The supra-aortic vessels were looped using cloth tapes and clipped using Hem-o-lok clips with gentle traction of cloth tapes. Then, the supra-aortic vessels were sharply transected, leaving a 2-mm cuff of tissue. There were no incidents of clip failure during application or migration, and no significant intra-operative or post-operative bleeding occurred due to clipping failure. Hem-o-lok clips are an easy, quick, and reliable method for the closure of supra-aortic vessels’ stump. Therefore, we recommend this technique for translocated total arch replacement procedures performed using a frozen elephant trunk.
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Takago, S., Nishida, S. & Nishida, Y. The usefulness of nonabsorbable polymer clips for the closure of supra-aortic vessels’ stump. Gen Thorac Cardiovasc Surg 70, 825–827 (2022). https://doi.org/10.1007/s11748-022-01834-2
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DOI: https://doi.org/10.1007/s11748-022-01834-2