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Aortic arch replacement using a trifurcated graft and selective cerebral antegrade perfusion  David Spielvogel, MD, Justus T Strauch, MD, Oktavijan P.

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Presentation on theme: "Aortic arch replacement using a trifurcated graft and selective cerebral antegrade perfusion  David Spielvogel, MD, Justus T Strauch, MD, Oktavijan P."— Presentation transcript:

1 Aortic arch replacement using a trifurcated graft and selective cerebral antegrade perfusion 
David Spielvogel, MD, Justus T Strauch, MD, Oktavijan P Minanov, MD, Steven L Lansman, MD, PhD, Randall B Griepp, MD  The Annals of Thoracic Surgery  Volume 74, Issue 5, Pages S1810-S1814 (November 2002) DOI: /S (02)

2 Fig 1 Construction of the trifurcated graft with cut and beveled Dacron grafts. The Annals of Thoracic Surgery  , S1810-S1814DOI: ( /S (02) )

3 Fig 2 (A) Transection of the brachiocephalic vessels just distal to their origin during hypothermic circulatory arrest. (B) Anastomosis of the limbs of the trifurcated graft to the brachiocephalic arteries followed by selective antegrade cerebral perfusion through the right axillary artery. The Annals of Thoracic Surgery  , S1810-S1814DOI: ( /S (02) )

4 Fig 3 Completion of the aortic arch repair with a final graft-to-graft anastomosis. The Annals of Thoracic Surgery  , S1810-S1814DOI: ( /S (02) )


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