True Lumen Perfusion Technique for Extensive Aortic Dissections Involving the Neck and Femoral Vessels V Rao Parachuri, FRCS CTh, Ajay Subramanian, DNB.

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True Lumen Perfusion Technique for Extensive Aortic Dissections Involving the Neck and Femoral Vessels V Rao Parachuri, FRCS CTh, Ajay Subramanian, DNB CTS The Annals of Thoracic Surgery Volume 104, Issue 3, Pages e295-e297 (September 2017) DOI: 10.1016/j.athoracsur.2017.05.045 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Right atrial–to–left atrial bypass by two-stage cannulation.(B) Right atrial–to–left atrial bypass by bicaval cannulation. (C) Innominate artery exposure. The Annals of Thoracic Surgery 2017 104, e295-e297DOI: (10.1016/j.athoracsur.2017.05.045) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Innominate artery and distal aortic arch true lumen cannulation.(B) Graft cross-clamp placement during proximal anastomosis.(C) Completed operation shows innominate-to-aortic graft in a Y configuration. The Annals of Thoracic Surgery 2017 104, e295-e297DOI: (10.1016/j.athoracsur.2017.05.045) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Cross-clamp and cannula placements. The Annals of Thoracic Surgery 2017 104, e295-e297DOI: (10.1016/j.athoracsur.2017.05.045) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions