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Three-graft technique for ascending aorta and total aortic arch replacement  Gen-ya Yaginuma, MD, Yoshiyuki Iijima, MD, Kazuo Abe, MD, Yoshiyuki Okada,

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Presentation on theme: "Three-graft technique for ascending aorta and total aortic arch replacement  Gen-ya Yaginuma, MD, Yoshiyuki Iijima, MD, Kazuo Abe, MD, Yoshiyuki Okada,"— Presentation transcript:

1 Three-graft technique for ascending aorta and total aortic arch replacement 
Gen-ya Yaginuma, MD, Yoshiyuki Iijima, MD, Kazuo Abe, MD, Yoshiyuki Okada, MD, Michitoshi Ottomo, MD  The Annals of Thoracic Surgery  Volume 66, Issue 6, Pages (December 1998) DOI: /S (98)

2 Fig 1 (A) A graft (12 mm) is sutured to the arch vessels under continuous retrograde cerebral perfusion and deep hypothermic circulatory arrest. (B) The second graft (20–24 mm) is sutured to the descending aorta with open distal anastomosis and modified elephant trunk technique using antegrade cerebral perfusion through the first graft and deep hypothermic circulatory arrest. (C) Continuous retrograde cerebral perfusion is resumed to complete side-to-side anastomosis of the first graft and the second graft with deep hypothermic circulatory arrest. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

3 Fig 2 (A) The ascending aorta is reconstructed with the third graft (24–28 mm). (B) Completion of all anastomoses for ascending aorta and total aortic arch replacement. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

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