Transthoracic Aorto-Axillary Extra-Anatomical Bypass for Management of Difficult Subclavian Artery Revascularization: A Multicenter Patency Study

Laurin, Charles; Chu, M.; Appoo, Jehangir J.; Fichadiya, A.; Hamamsy, I. El; Dagenais, François

doi:10.1016/j.cjca.2017.07.022

Cited by 2 publications

(2 citation statements)

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“…A total of 77 grafts were evaluated, with 25 cases involving the right axillary artery and 52 cases involving the left axillary artery. At a mean imaging follow-up of about 3 years, graft patency was 95.3%, demonstrating the effectiveness of this technique (18).…”

Section: Intraoperative Anatomic/extra-anatomic Reconstructionmentioning

confidence: 76%

Management of the difficult left subclavian artery during aortic arch repair

Hage

Ginty

Power

et al. 2018

Ann. Cardiothorac. Surg.

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Management of the left subclavian artery (SCA) during aortic arch surgery is associated with several challenges, including preserving distal perfusion, achieving hemostasis and preventing posterior circulation stroke and spinal cord injury. The most common challenge remains its deep position in the chest, often exacerbated by posterior and apical displacement from an arch aneurysm. We discuss several management options consisting of pre-, intra- and post-operative strategies and their respective advantages, disadvantages and clinical outcomes. A clinical algorithm is proposed to help guide decision-making in managing the difficult left SCA during aortic arch repair.

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Section: Intraoperative Anatomic/extra-anatomic Reconstructionmentioning

confidence: 76%

Management of the difficult left subclavian artery during aortic arch repair

Hage

Ginty

Power

et al. 2018

Ann. Cardiothorac. Surg.

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show abstract

“…Besides, a recent Cochrane review by Hajibandeh S. et al demonstrated that revascularisation of the LSA was associated with a similar risk of stroke, spinal cord ischaemia, and mortality compared with no LSA revascularisation [ 31 ]. Other than oversewing or direct ligation of the left SCA, there are multiple strategies to manage difficult LSA during emergency aortic arch repair [ 32 ] including extra-anatomical bypass of aortic graft to left axillary artery through left subclavicular incision [ 33 ], or hybrid endovascular technique with deployment of the single-branched stent-graft inside left SCA under transesophageal echocardiography guidance [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

A challenging case of emergency redo surgery for acute type A aortic dissecting aneurysm of ascending and aortic arch with frozen elephant trunk following aortic root replacement

Lok,

Villaquiran,

Kuo

2024

J Cardiothorac Surg

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Redo ascending and aortic arch surgeries following previous cardiac or aortic surgery are associated with high risk of morbidity and mortality due to multiple factors included sternal re-entry injury, extensive aortic arch surgery, emergency aortic surgery, prolonged cardiopulmonary bypass duration, poor heart function, and patients with older age. Therefore, appropriate surgical strategies are important. We report a case of a 72-year-old gentleman with previous surgery of aortic root replacement who presented with acute Type A aortic dissecting aneurysm of ascending and aortic arch complicated with left hemothorax, which was successfully treated by emergency redo aortic surgery with frozen elephant trunk (FET) technique.

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Transthoracic Aorto-Axillary Extra-Anatomical Bypass for Management of Difficult Subclavian Artery Revascularization: A Multicenter Patency Study

Cited by 2 publications

References 0 publications

Management of the difficult left subclavian artery during aortic arch repair

Management of the difficult left subclavian artery during aortic arch repair

A challenging case of emergency redo surgery for acute type A aortic dissecting aneurysm of ascending and aortic arch with frozen elephant trunk following aortic root replacement

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