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How I Teach Hemi-Arch Replacement

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Presentation on theme: "How I Teach Hemi-Arch Replacement"— Presentation transcript:

1 How I Teach Hemi-Arch Replacement
Thomas E. MacGillivray, MD  The Annals of Thoracic Surgery  Volume 101, Issue 4, Pages (April 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Exposed axillary artery with the completed heel of the end-to-side anastomosis with 8-mm Dacron (C. R. Bard, Haverhill, PA) graft. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Proximal aortic anastomosis completed from left-right commissure to left-non commissure. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Open hemiarch with clamps on the brachiocephalic vessels.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Completed back wall of the hemiarch anastomosis.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Marking the pressurized distal and proximal grafts at the pulmonary artery bifurcation. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Completed ascending aortic and hemiarch replacement.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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