Abstract
Open aortic arch surgery is still challenging even in the present era with the Achilles’ heel being the neurological complication. The variety of approaches and surgical techniques used to reconstruct the aortic arch, protecting the vital organs, the extent of aortic replacement, and the options of reimplanting the supra-aortic arch vessels indicate the challenges involved in the procedure. Though open surgery still remains the ‘gold standard’, in the last two decades, endo-prostheses and stents have emerged as alternate options.
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The data that support the findings of this study are publicly available in electronic databases such as PubMed at https://pubmed.ncbi.nlm.nih.gov/.
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Video 1: Establishment of bilateral antegrade cerebral perfusion (MP4 17289 KB)
Video 2: Aortic arch reconstruction – Hemiarch replacement by ‘peninsular technique’, island patch technique and individual branch anastomosis (WMV 273715 KB)
Video 3: Graft-to-graft anastomosis in a patient with Bentall’s procedure and aortic arch reconstruction (WMV 35104 KB)
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Idhrees, M., Velayudhan, B. Open aortic arch surgery—how we do it. Indian J Thorac Cardiovasc Surg 39 (Suppl 2), 349–352 (2023). https://doi.org/10.1007/s12055-023-01574-9
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DOI: https://doi.org/10.1007/s12055-023-01574-9