Open repair is the standard for aneurysmal degeneration of the arch. Endovascular techniques offer an alternative for patients with prohibitive comorbidities. This video describes a complete endovascular arch reconstruction using a modified stent graft approach, combined with cervical debranching.
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Aortic Arch
February 3, 2015
This video shows the surgical correction of two large thoracic aortic aneurysms in a 15-year-old girl.
January 21, 2015
This video demonstrates a technique for aortic arch debranching and reconstruction in an elderly patient.
January 14, 2015
Deep hypothermia and cardioplegic myocardial arrest, with or without selective cerebral perfusion, is traditionally performed during aortic arch reconstruction. In this video, the authors describe a technique for selective cerebral perfusion combined with controlled coronary perfusion for hypoplastic aortic arch repair.
January 5, 2015
This video illustrates a novel technique for repairing a type A aortic dissection.
November 12, 2014
This video presents the case of a 52-year-old man who was found to have a leaking bicuspid aortic valve and a 5.2 cm aneurysm extending from the aortic root to the proximal arch.
October 3, 2013
Mini-sternotomy is being increasingly adopted for surgery of the aortic valve and ascending aorta. This adds greater complexity when compared to a standard median sternotomy approach. This video describes technical modifications that allow the surgeon to overcome these challenges in a case requiring deep hypothermic circulatory arrest (DHCA), aortic valve, and hemiarch repair.
September 20, 2013
Hybrid aortic procedures have the potential to reduce morbidity and mortality in patients that may not be reasonable candidates for a traditional open operation. This article examines a hybrid procedure performed on a 60-year-old male who had received four previous open-heart operations and who had numerous co-morbidities.
March 21, 2013
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital anomaly that is one of the most common causes of myocardial ischemia and infarction in children. If untreated, it results in a mortality rate of up to 90% within the first year of life. In the current era, establishment of a two coronary artery system is considered the goal for repair of ALCAPA.
July 11, 2012
The Ross procedure is a valuable alternative for the surgical treatment of aortic valve disease in adolescent and young adult. However, neo-aortic root dilatation resulting in valve regurgitation is not uncommon. This video demonstrates the authors' technical modification that prevents this complication.