NYMC Faculty Publications

Simplified Zone 2 Arch Repair Using a Trifurcated Graft for Acute Type a Dissection

Author Type(s)

Faculty

DOI

10.1016/j.athoracsur.2021.09.047

Journal Title

The Annals of Thoracic Surgery

First Page

e67

Last Page

e70

Document Type

Article

Publication Date

7-1-2022

Department

Surgery

Abstract

We report a simplified zone 2 arch repair using a trifurcated graft for acute type A aortic dissection. The right axillary artery is cannulated. After completion of proximal aortic repair using a 1-branched graft, a trifurcated graft is anastomosed to the ascending graft just above the proximal suture line or coronary buttons in case of Bentall procedure. Distal aortic anastomosis is performed at the zone 2 level under unilateral antegrade cerebral perfusion. Full cardiopulmonary bypass flow is resumed via the right axillary artery and ascending graft using both Y-shaped arterial limbs. The left common carotid and innominate arteries are sequentially anastomosed.

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