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Ann Thorac Surg 2001;71:1011-1013
© 2001 The Society of Thoracic Surgeons
a Department of Cardiothoracic Surgery, St. Jude Medical Center, Fullerton, California, USA
b University of California, Irvine Medical Center, Orange, California, USA
Accepted for publication March 1, 2000.
Address reprint requests to Dr Tovar, 100 E Valencia Mesa Dr, Suite 301, Fullerton, CA 92835
e-mail: etovarmd{at}aol.com
Saccular aneurysms of the aortic arch are usually managed with patch graft aortoplasty or with tube graft replacement. In either case, hypothermic circulatory arrest is necessary. The use of stapling devices has revolutionized pulmonary and gastrointestinal surgery; however, these instruments have rarely been used in aortic surgery except during thromboexclusion procedures. We present a simple and seemingly innovative stapling method that eliminates the need for circulatory arrest.
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