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LEFT SUBCLAVIAN ARTERY MANAGEMENT IN FROZEN ELEPHANT TRUNK: A NOVEL TECHNIQUE
  • Bashi Velayudhan,
  • Mohamad Bashir,
  • Mohammed Idhrees
Bashi Velayudhan
SRM Institutes for Medical Science Vadapalani
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Mohamad Bashir
Royal Blackburn Teaching Hospital
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Mohammed Idhrees
SRM Institutes for Medical Science Vadapalani
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Abstract

Proximilisation of Frozen Elephant Trunk (FET) necessitates the ligation and reimplantation of the left subclavian artery (LSA), the origin of which is distal and posterior, make rerouting difficult and cumbersome. We describe a rather simple technique for subclavian artery exposure and effective anatomical reconstruction in the mediastinum coupled with hybrid FET utilisation for aortic aneurysm in elective and non-elective settings. The division of the sternocleidomastoid coupled with the sandbag behind the left shoulder brings the LSA superficial enabling anastomosis without any difficulty.

Peer review status:Published

01 Sep 2020Submitted to Journal of Cardiac Surgery
03 Sep 2020Assigned to Editor
03 Sep 2020Submission Checks Completed
04 Sep 2020Reviewer(s) Assigned
20 Sep 2020Review(s) Completed, Editorial Evaluation Pending
27 Sep 2020Editorial Decision: Accept
Jan 2021Published in Journal of Cardiac Surgery volume 36 issue 1 on pages 283-285. 10.1111/jocs.15107