Korean J Thorac Cardiovasc Surg.  2004 Nov;37(11):903-910.

The Short Term Results of the Total Aortic Arch Replacement with Arch First Technique

• Cho KJ
• Woo JS
• Kim SH
• Bang JH
• Lee GS
• Choi PJ

Abstract

BACKGROUND: The total aortic arch replacement is one of the most difficult operations with high mortality rate. But the arch first technique with subclavian arterial perfusion has been reported to be a safe methods for arch replacement. MATERIAL AND METHOD: Between Feb 2003 and July 2004, 18 patients, 10 men and 8 women, underwent total aortic arch replacement with arch first technique. Their mean age was 59.3+/-12.9 years. The patietns received 11 acute aortic dissections, 3 chronic aortic dissectiong aneurysms, and 4 ruptured aortic arch aneurysms. RESULT: The mean admission period was 20.2+/-7.4 days. There was one early mortality case which died of low cardiac output syndrome and another late mortality case which died of cerebral hemorrhage. The others were discharged without any sequelae and they were followed up for an average period of 180+/-156.3 days.
CONCLUSION
The total aortic arch replacement with arch first technique and subclavian arterial perfusion is a good method that will reduce the surgical mortality and the possibility of secondary late reoperation from the remnant distal aortic problems.

Keyword

Aorta, surgery; Aorta, arch; Surgery method

MeSH Terms

Aneurysm
Aorta, Thoracic*
Cardiac Output, Low
Cerebral Hemorrhage
Female
Humans
Male
Mortality
Perfusion
Reoperation