Charles T. Klodell, MD, Philip J. Hess, MD, Thomas M

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Presentation transcript:

Distal Aortic Perfusion During Aortic Arch Reconstruction: Another Tool for the Aortic Surgeon Charles T. Klodell, MD, Philip J. Hess, MD, Thomas M. Beaver, MD, Dale Clark, CCP, Tomas D. Martin, MD The Annals of Thoracic Surgery Volume 78, Issue 6, Pages 2196-2198 (December 2004) DOI: 10.1016/j.athoracsur.2003.10.070

Fig 1 If epiaortic ultrasound demonstrates a favorable site, the aneurysm is cannulated directly. The arrow demonstrates the direction of blood flow in the aortic cannula. The tube surrounding the arrow represents the aortic cannula placed directly into the aorta. The Annals of Thoracic Surgery 2004 78, 2196-2198DOI: (10.1016/j.athoracsur.2003.10.070)

Fig 2 The ADIC balloon tipped cannula is placed through the Dacron graft and inflated in the proximal descending aorta. The Annals of Thoracic Surgery 2004 78, 2196-2198DOI: (10.1016/j.athoracsur.2003.10.070)

Fig 3 Anastomosis to the descending aorta is constructed while distal perfusion is maintained. The Annals of Thoracic Surgery 2004 78, 2196-2198DOI: (10.1016/j.athoracsur.2003.10.070)

Fig 4 The innominate, carotid, and subclavian vessels are implanted as an island patch to the Dacron graft while distal perfusion is maintained. The Annals of Thoracic Surgery 2004 78, 2196-2198DOI: (10.1016/j.athoracsur.2003.10.070)