Single-stage extensive replacement of the thoracic aorta: the arch-first technique.

@article{Rokkas1999SinglestageER,
  title={Single-stage extensive replacement of the thoracic aorta: the arch-first technique.},
  author={Chris K. Rokkas and Nicholas T. Kouchoukos},
  journal={The Journal of thoracic and cardiovascular surgery},
  year={1999},
  volume={117 1},
  pages={99-105}
}
BACKGROUND Single-stage extensive replacement of the thoracic aorta usually involves a period of circulatory arrest with performance of the graft-to-lower descending thoracic aorta anastomosis before performing the anastomosis to the arch vessels. To minimize the period of brain ischemia and reduce the potential for neurologic injury, we developed an alternative technique. METHODS In 6 patients with extensive aneurysms involving the entire thoracic aorta, exposure was obtained via a bilateral… CONTINUE READING