Liang-Wan Chen, MD, Xi-Jie Wu, MD, Xiao-Fu Dai, MD 

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Transverse Pericardial Sinus Closure in Acute Type A Aortic Dissection Operation  Liang-Wan Chen, MD, Xi-Jie Wu, MD, Xiao-Fu Dai, MD  The Annals of Thoracic Surgery  Volume 104, Issue 4, Pages e351-e353 (October 2017) DOI: 10.1016/j.athoracsur.2017.06.035 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Photographs taken from an elderly patient undergoing acute type A aortic dissection repair. (A) The transverse pericardial sinus was closed with sutures before the graft implantation. (B) A bovine pericardial patch covered the pericardial recess between the superior caval vein and pulmonary artery, and an opening was made in the left inner side of the superior caval vein. A Foley catheter was inserted into the superior caval vein for temporary obstruction. (C) All the graft and suture lines were wrapped, and a quick dry surgical field appeared. The Annals of Thoracic Surgery 2017 104, e351-e353DOI: (10.1016/j.athoracsur.2017.06.035) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions