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Minimally Invasive Techniques for Total Aortic Arch Reconstruction

Authors:

Jason Faulds ,

McGovern Medical School at UTHealth and Memorial Hermann Heart & Vascular Institute, Houston, Texas, US
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M.D.
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Harleen K. Sandhu,

McGovern Medical School at UTHealth and Memorial Hermann Heart & Vascular Institute, Houston, Texas, US
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M.D.
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Anthony L. Estrera,

McGovern Medical School at UTHealth and Memorial Hermann Heart & Vascular Institute, Houston, Texas, US
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M.D.
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Hazim J. Safi

McGovern Medical School at UTHealth and Memorial Hermann Heart & Vascular Institute, Houston, Texas, US
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M.D.
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Abstract

The cumulative experience with endovascular aortic repair in the descending thoracic and infrarenal aorta has led to increased interest in endovascular aortic arch reconstruction. Open total arch replacement is a robust operation that can be performed with excellent results. However, it requires cardiopulmonary bypass and circulatory arrest and, therefore, may not be tolerated by all patients. Minimally invasive techniques have been considered as an alternative and include hybrid arch debranching, parallel stent graft deployment in the chimney and snorkel configurations, and complete endovascular branched reconstruction with multi-branched devices. This review discusses the evolving use of endovascular techniques in the management of aortic arch pathology and considers their relevance in an era of safe and durable open aortic arch reconstruction.

How to Cite: 1. Faulds J, Sandhu HK, Estrera AL, Safi HJ. Minimally Invasive Techniques for Total Aortic Arch Reconstruction. Methodist DeBakey Cardiovascular Journal. 2016;12(1):41-44. DOI: http://doi.org/10.14797/mdcj-12-1-41
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Published on 01 Jan 2016.
Peer Reviewed

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