Aortic Arch Replacement with a Trifurcated Graft

The critical consideration in approaching aortic arch (AA) surgery is how best to protect the brain while providing surgical access to the cerebral vessels. Between 1999 – 2016, 285 patients underwent aortic arch replacement using the trifurcated graft technique, with 7.4% mortality (hospital/30 day). Neurologic outcomes included 5.1% temporary neurologic deficits, 3.9% permanent neurologic deficits and no spinal cord injury. The trifurcated graft technique addres ses the two most important aspects of cerebral protection: minimizing cerebral ischemia and preventing cerebral embolization of air and atheromatous debris.
Source: Operative Techniques in Cardiac and Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Adult Source Type: research