Transthoracic aorto-axillary extra-anatomical bypass for difficult subclavian artery revascularization: a multicenter patency study. (24th May 2021)

• Record Type: Journal Article
• Authors: Laurin, Charles; Chu, Michael W A; Appoo, Jehangir J; Dagenais, François
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 33:Number 5(2021)
• Page Start: 763
• Page End: 764
• Publication Date: 2021-05-24
• Subjects: Aorta surgery -- Axillary revascularization; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivab158
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: In situ revascularization of the subclavian artery can be challenging in the context of emergency situations, a large aortic aneurysm with a posteriorly displaced left subclavian artery, a complex redo procedure or in the presence of an aberrant subclavian artery. A transthoracic aorto-axillary extra-anatomical bypass is a low risk alternative to in situ revascularization or carotid to subclavian bypass. We herein describe the surgical steps during a single-stage surgery complex aortic arch surgery. We report a 95.3% graft patency for 77 consecutive transthoracic aorto-axillary extra-anatomical bypass performed to 66 patients at the mean follow-up of 2.9 ± 2.4 years. We encountered 3 early (before 180 days postop) graft failures and no late graft failure. Graft failure had no clinical significance. Abstract : In situ revascularization of the subclavian artery can be challenging during complex arch reconstruction.