USEFULNESS OF NEW BRANCHED SEALED GRAFT FOR THE REPLACEMENT OF AORTIC ARCH

Abstract

New branched sealed Dacron grafts were used in 14 patients for the replacement of aortic arch aneurysms. This graft was consisted of the major graft (24mm or 26mm or 28mm) with 3 branches (10mm+8mm+8mm) and one perfusion graft (8mm). Three aortic arch branches were reconstructed independently using this branched graft by the selective cerebral perfusion method. There were three death in the emergency surgery (6 cases; 50% mortality) and no death in the elective surgery (8 cases; no mortality). There was no complication related to the branched sealed graft in this series. Branched sealed graft is useful to reconstruct the aortic arch and arch branches and may play an important role to decrease the bleeding and to reduce the operating time in aortic arch surgery.