Debranching of aortic arch as part of a complex cardiac surgery

Abstract

We present 54 year-old man diagnosed with an aneurysm of the ascending aorta and arch with aortic regurgitation andcoronary artery disease. Surgery consisted of removing an aneurysm of the ascending aorta and arch of subtraction (debranching)cephalic brachiocephalic trunk and the common carotid artery and anastomosis of the descending aorta with vascularprosthesis and coronary artery bypass grafting. Postoperative course was uneventful. In 14 days after surgery the patient wasdischarged from the unit. Debranching method allowed avoiding hypothermia during surgery and shortening the time ofcardio pulmonary bypass.