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Clampless and Sutureless Hybrid Technique for Aortic Arch Debranching on a Porcelain Aorta  Giorgio L. Poletto, MD, Liam Musto, Efrem Civilini, MD, PierLuigi.

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Presentation on theme: "Clampless and Sutureless Hybrid Technique for Aortic Arch Debranching on a Porcelain Aorta  Giorgio L. Poletto, MD, Liam Musto, Efrem Civilini, MD, PierLuigi."— Presentation transcript:

1 Clampless and Sutureless Hybrid Technique for Aortic Arch Debranching on a Porcelain Aorta 
Giorgio L. Poletto, MD, Liam Musto, Efrem Civilini, MD, PierLuigi Giorgetti, MD  The Annals of Thoracic Surgery  Volume 101, Issue 6, Pages (June 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Intraoperative identification of the small area devoid of calcification. The pledget-lined pursestring suture is fixed around the puncture site. By needle puncture (arrow), a guidewire is inserted into the ascending aorta. (B) The hybrid graft is inserted over the guidewire and opened with a trigger-wire mechanism, achieving an adequate run-in. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) A Y graft is customized by tailoring two more hybrid grafts to the inflow branch. (B) Bilateral carotid revascularization is accomplished by sutureless attachment of the two grafts to the crossover graft previously implanted. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Postoperative computed tomographic view of reconstructed aortic arch and bifurcated graft. Extensive calcifications of the ascending aorta are detailed: a small anterior area devoid of pathologic changes is allowed, to obtain an inflow site. (B) Three-dimensional maximum intensity projection (MIP) visualization showing the amount and behavior of the hybrid graft inserted into the ascending aorta. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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