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Surgical Management of Hemorrhage From Rupture of the Aortic Arch

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Presentation on theme: "Surgical Management of Hemorrhage From Rupture of the Aortic Arch"— Presentation transcript:

1 Surgical Management of Hemorrhage From Rupture of the Aortic Arch
René Prêtre, Nicolas Murith, Dominique Delay, Tshibambula Kalonji  The Annals of Thoracic Surgery  Volume 65, Issue 5, Pages (May 1998) DOI: /S (98)

2 Fig. 1 Reduction of free bleeding from the aortic arch is achieved by providing local tamponade with laparotomy pads. Blood is aspirated with cardiotomy suckers into the cardiopulmonary circuit and immediately retransfused. Full cardiopulmonary bypass is established by femoral vessel cannulation using a long venous cannula positioned in the right atria. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

3 Fig. 2 Types of aortic arch resection performed in 6 patients (left, 3 patients; middle, 2; right, 1) using an impervious synthetic graft. A tongue of aortic arch supporting the arch arteries allows quick implantation of these arteries on the prosthesis. The Annals of Thoracic Surgery  , DOI: ( /S (98) )

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