REVIEW   

Italian Journal of Vascular and Endovascular Surgery 2018 March;25(1):13-7

DOI: 10.23736/S1824-4777.17.01323-7

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Fundamentals and results of total aortic arch replacement

Fabrizio SETTEPANI ✉

Department of Cardiac Surgery, Humanitas Research Hospital, Rozzano, Milan, Italy

Surgical outcome of total aortic arch replacement has dramatically improved over the recent years. Sophisticated methods of neuroprotection and routine use of moderate hypothermia have substantially contributed to this achievement. Debranching hybrid techniques have been proposed as an alternative treatment for high-risk patients presenting with aortic arch aneurysms, thus, contemporary open arch repair needs to be reassessed as a benchmark for consideration of the optimal therapeutic strategy.

KEY WORDS: Thoracic aorta - Aortic arch syndromes - Cardiac surgical procedure - Hypothermia - Deep hypothermia-induced circulatory arrest