Annals of Thoracic and Cardiovascular Surgery
Online ISSN : 2186-1005
Print ISSN : 1341-1098
ISSN-L : 1341-1098
Original Articles
Complex Reconstruction of Supraaortic Branches
Masoud MirzaieSheila FatehpurMartin FriedrichSamuel SossallaChristian SohnsFriedrich A. SchoendubeJan D. Schmitto
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JOURNAL FREE ACCESS

2011 Volume 17 Issue 4 Pages 347-351

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Abstract

Objective: The present paper exemplary describes several severe stenoses of supraaortic branches with its symptoms and operative treatments.
Methods: Eight patients, two female (68 ± 5 y), six male (73 ± 4 y), were retrospectively evaluated. Patients showed neurological signs as followed: recurring attacks of vertigo (80%), temporary paresis of extremity (20%), speech disorders (20%) and subclavian and/or carotic-steel-syndrome (15%). Seven patients have already been previously treated with revascularization of the supraaortic branches in the past. The surgical techniques used were thrombendarterectomy of the internal carotid artery, carotid-subclavian bypass and complex aorto-truncal, aorto-carotid and aorto-subclavian-bypass.
Results: One patient died nine days postoperatively due to myocardial infarction. Mean duration of stay on intensive care unit was 1.5 days. Mean duration of postoperative ventilation was six hours. Average duration of stay on normal ward was nine days.
Conclusion: This study presents several complex reconstructions of supraaortic branches, which were indicated in cases with severe stenoses of supraaortic branches. Even though treatment strategies were complex the peri- and postoperative complication rates are quite low. These therapeutic strategies were necessary to avoid severe neurological complications in these patients.

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© 2011 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery

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