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J Thorac Cardiovasc Surg 2007;133:262-263
© 2007 The American Association for Thoracic Surgery

Brief Communication

Endovascular repair of aortic arch aneurysm after achievement of local anesthesia

Giuseppe Siniscalchi, MD*, Piergiorgio Tozzi, MD, Enrico Ferrari, MD, Dominique Delay, MD, Patrick Ruchat, MD, Ludwig von Segesser, MD

Cardiovascular Surgery Department, Centre Hôpitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.

Received for publication September 7, 2006; accepted for publication September 13, 2006.

* Address for reprints: Giuseppe Siniscalchi, MD, Department of Cardiovascular Surgery, Centre Hôpitalier Universitaire Vaudois (CHUV), 46, rue du Bugnon, CH-1011 Lausanne, Switzerland. (Email: giuseppe.siniscalchi@chuv.ch).

The first 20% of the full text of this article appears below.


Figure 1
Drs Tozzi, Von Segesser, Siniscalchi, Ferrari, Delay, Fischer (senior cardiac surgeons not author), and Ruchat (right to left)


Endovascular treatment of aortic arch aneurysm represents a major challenge, mainly because brain perfusion can be easily compromised during the procedure.

We share our experience with the hybrid approach to aneurysm of the aortic arch in a patient with prohibitive risk for aortic arch replacement under extracorporal circulation.1-4Go The hybrid approach includes the construction of a prosthetic bypass between the right and left carotid arteries, followed by the deployment of . . . [Full Text of this Article]




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