Aortic Arch-Clamping Technique in Hemiarch Replacement Without Circulatory Arrest

• DOI: 10.1016/j.hlc.2023.04.292
• Publication Date: 2023-06-10T19:50:16Z
• Authors: Bo Jia; Cheng Luo; Chengnan Li; Yipeng Ge; Yongliang Zhong; Zhiyu Qiao; Haiou Hu; Yi Yang; Hai Yu; Junming Zhu
• Keywords: Blood Vessel Prosthesis Implantation; Treatment Outcome; Aortic Aneurysm, Thoracic; Heart Arrest, Induced; Humans; Aorta, Thoracic; Constriction; 3. Good health; Aortic Aneurysm; Heart Arrest

The open anastomosis technique has become more popular since it was first used in hemiarch replacement; however, hypothermic circulatory arrest is unavoidable. This institution performed a novel surgical technique called the arch-clamping technique. It has been used in the treatment of patients with ascending aortic aneurysm extending to the proximal aortic arch and avoids the use of hypothermic circulatory arrest. Thirty patients had a hemiarch replacement with the arch-clamping technique from 2021 to 2022; all of them were discharged uneventfully.