How I Teach Hemi-Arch Replacement

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Presentation transcript:

How I Teach Hemi-Arch Replacement Thomas E. MacGillivray, MD The Annals of Thoracic Surgery Volume 101, Issue 4, Pages 1251-1254 (April 2016) DOI: 10.1016/j.athoracsur.2016.02.047 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Exposed axillary artery with the completed heel of the end-to-side anastomosis with 8-mm Dacron (C. R. Bard, Haverhill, PA) graft. The Annals of Thoracic Surgery 2016 101, 1251-1254DOI: (10.1016/j.athoracsur.2016.02.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Proximal aortic anastomosis completed from left-right commissure to left-non commissure. The Annals of Thoracic Surgery 2016 101, 1251-1254DOI: (10.1016/j.athoracsur.2016.02.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Open hemiarch with clamps on the brachiocephalic vessels. The Annals of Thoracic Surgery 2016 101, 1251-1254DOI: (10.1016/j.athoracsur.2016.02.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Completed back wall of the hemiarch anastomosis. The Annals of Thoracic Surgery 2016 101, 1251-1254DOI: (10.1016/j.athoracsur.2016.02.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Marking the pressurized distal and proximal grafts at the pulmonary artery bifurcation. The Annals of Thoracic Surgery 2016 101, 1251-1254DOI: (10.1016/j.athoracsur.2016.02.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Completed ascending aortic and hemiarch replacement. The Annals of Thoracic Surgery 2016 101, 1251-1254DOI: (10.1016/j.athoracsur.2016.02.047) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions