Svensson L G, Kaushik S D, Marinko E
Center for Aortic Surgery, Lahey Clinic, Burlington, Massachusetts 01805, USA.
Ann Thorac Surg. 2001 Mar;71(3):1050-2. doi: 10.1016/s0003-4975(00)02542-x.
There is an increased risk of rupture with attempting a distal anastomosis when the distal aortic arch exceeds 5 to 6 cm. To circumvent this problem, we describe performing the anastomosis between the left common carotid and the left subclavian arteries and, at the second-stage operation, interposing a tube graft between the left subclavian artery and the descending aortic tube graft.