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Ann Thorac Surg 2000;69:1282-1284
© 2000 The Society of Thoracic Surgeons

HOW TO DO IT

"Cobrahead" graft for intercostal artery implantation during descending aortic replacement

John A. Elefteriades, MDa, Michael A. Coady, MDa, Dimitri J. Nikas, MDa, Gary S. Kopf, MDa, Richard J. Gusberg, MDb

a Section of Cardiothoracic Surgery, Yale University School of Medicine, New Haven, Connecticut, USA
b Section of Vascular Surgery, Yale University School of Medicine, New Haven, Connecticut, USA

Address reprint requests to Dr Elefteriades, Section of Cardiothoracic Surgery, Yale University School of Medicine, 121 FMB, 333 Cedar St, New Haven, CT 06510

A technique for a separate sidearm graft ("cobrahead") to facilitate reattachment of intercostal arteries in descending aortic replacement is described. The technique allows for very prompt restoration of spinal cord blood flow (via a Y attachment from the arterial perfusion circuit). The technique permits a simple, quick, and fully accessible anastomosis, technically more facile than the traditional side-to-side anastomosis. None of 7 patients treated with this technique had early or late paraplegia. Preliminary computed tomographic follow-up scans confirm patency of the cobrahead graft.


Related Article

Invited commentary
Marc A.A.M. Schepens
Ann. Thorac. Surg. 2000 69: 1284. [Extract] [Full Text] [PDF]





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