Minimally invasive aortic surgery

Tristan D. Yan*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Thoracic aortic aneurysm (TAA) poses a silent and potentially deadly threat to those who harbor them. Clinicians ought to maintain a high index of clinical suspicion for patients with a possible TAA and offer prompt preemptive surgical intervention before devastating complications occur. An important objective in surgery is to reduce surgical trauma and achieve faster recovery for our patients. This chapter describes the technical details on how I perform minimally invasive aortic surgery via a mini-sternotomy access. The operation consists of 6 major steps: 1) mini-sternotomy, 2) cannulation, 3) aortic root exposition, 4) ‘French Cuff’ technique or double layer anastomosis, 5) coronary buttons re-implantation and 6) hemi-arch replacement. The success of the operation is a direct result of careful completion of these steps. The details of the ‘French Cuff’ technique are described in this chapter to show how to improve the hemostasis along the proximal annular anastomosis.

Original languageEnglish
Title of host publicationMinimally invasive aortic valve surgery
EditorsHunaid A. Vohra, Vinayak Bapat, Christopher P. Young
Place of PublicationHauppauge, NY
PublisherNova Science Publishers
Pages151-175
Number of pages25
ISBN (Electronic)9781634855365
ISBN (Print)9781634854993
Publication statusPublished - 1 Jan 2016
Externally publishedYes

Publication series

NameNew Developments in Medical Research
PublisherNova Science Publishers

Keywords

  • aortic surgery
  • Bentall procedure
  • mini-Bentall
  • minimally invasive

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