Modified Gott shunt to avoid left ventricular overload and cerebral hypoperfusion during distal aortic arch surgery  Sandro Gelsomino, MD, PhD, FESC,

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Modified Gott shunt to avoid left ventricular overload and cerebral hypoperfusion during distal aortic arch surgery  Sandro Gelsomino, MD, PhD, FESC, Elham Bidar, MD, Jayant S. Jainandunsing, MD, PhD, Ignace F.J. Tielliu, MD, PhD, Roberto Lorusso, MD, PhD, Daniel Johnson, PhD, Jos G. Maessen, MD, PhD, Ehsan Natour, MD, PhD  Journal of Vascular Surgery Cases and Innovative Techniques  Volume 5, Issue 1, Pages 65-67 (March 2019) DOI: 10.1016/j.jvscit.2018.11.005 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Computed tomography angiogram depicts the aneurysm preoperatively. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 65-67DOI: (10.1016/j.jvscit.2018.11.005) Copyright © 2018 The Authors Terms and Conditions

Fig 2 Scheme of the modified Gott shunt through an anterolateral thoracotomy. The yellow arrows show the direction of the flow. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 65-67DOI: (10.1016/j.jvscit.2018.11.005) Copyright © 2018 The Authors Terms and Conditions

Fig 3 Predischarge three-dimensional computed tomography image shows complete repair of the aneurysm with no extravascular leakage. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 65-67DOI: (10.1016/j.jvscit.2018.11.005) Copyright © 2018 The Authors Terms and Conditions