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Ann Thorac Surg 2006;81:1552
© 2006 The Society of Thoracic Surgeons

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Correspondence

Aortic Arch Replacement Using a Trifurcated Graft

First Department of Surgery, Hamamatsu University School of Medicine, 1-20-1, Handayama, Hamamatsu City, 431-3192 Japan

(Email: tkazui@hama-med.ac.jp).

The first 20% of the full text of this article appears below.

To the Editor:

We read with great interest the article by Spielvogel and colleagues [1] on the use of a trifurcated graft to replace the aortic arch. We were truly impressed by their surgical results in a series of 109 nonemergent patients who underwent aortic arch replacement for various aortic arch pathologies with the use of a trifurcated graft. The cerebral protective adjuncts used were deep hypothermic circulatory arrest (DHCA) and antegrade selective cerebral perfusion (SCP). Although the points regarding the advantages of the trifurcated graft in the surgical strategy adopted by the authors are well taken, we have . . . [Full Text of this Article]