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Ann Thorac Surg 2003;76:952-953
© 2003 The Society of Thoracic Surgeons

How to do it

Use of cuffed anastomosis in total aortic arch replacement

Katsuhiko Oda, MDa*, Hiroji Akimoto, MDa, Masaki Hata, MDa, Junetsu Akasaka, MDa, Kazuhiro Yamaya, MDa, Atsushi Iguchi, MDa, Koichi Tabayashi, MDa

a Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan

Accepted for publication February 14, 2003.

* Address reprint requests to Dr Oda, Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai 980-8574, Japan
e-mail: k-oda{at}mail.cc.tohoku.ac.jp

The distal aortic anastomosis portion of the total arch surgery remains technically complex especially in cases in which an aortic arch aneurysm extends below level of carina. We present the cuffed anastomosis that overcomes this difficulty. We applied this technique in 49 patients of elective total aortic arch aneurysm repair using selective cerebral perfusion from 1996 to 2001. Hospital mortality was 2%.




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