AI Article Synopsis
- We performed aortic arch replacements in 4 patients with an isolated left vertebral artery, using specialized grafts.
- All surgeries employed a technique involving hypothermia and temporary cessation of blood circulation to protect the brain.
- The reconstructed arteries remained open and functional, no patients experienced complications, and all were discharged in good health.
Article Abstract
We conducted 4 total aortic arch replacements in patients with an isolated left vertebral artery. In all 4, surgery was done using 4-branched arch grafts with moderately hypothermic selective cerebral perfusion and systemic circulatory arrest. All reconstructed isolated left vertebral arteries anastomosed to the native left subclavian artery or to the graft branch for this artery showed good patency. None of our patients had cerebral complications and all were discharged in good condition.
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| http://dx.doi.org/10.1007/BF02913189 | DOI Listing |
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