Total Arch Replacement and Frozen Elephant Trunk Implantation for Acute Type A Dissection Using Complete Cerebral Perfusion and Upper Hemisternotomy
摘要To the Editor:Aortic arch surgery for acute aortic dissection is conventionally performed through median sternotomy.To date,there have been no reports of using upper hemisternotomy to repair Type A dissection.The main concern is the safety of using a minimally invasive approach for such a high-risk surgery.[1] Here,we introduce a technique to perform a preferential reconstruction of the arch vessels with complete cerebral perfusion technique during hypothermic circulatory arrest (HCA) to improve neuroprotection.
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