"Cobrahead" graft for intercostal artery implantation during descending aortic replacement.
case_series · Level IV
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- Record sourced from PubMed, PMID 10800847.
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Abstract
A technique for a separate sidearm graft ("cobrahead") to facilitate reattachment of intercostal arteries in descending aortic replacement is described. The technique allows for very prompt restoration of spinal cord blood flow (via a Y attachment from the arterial perfusion circuit). The technique permits a simple, quick, and fully accessible anastomosis, technically more facile than the traditional side-to-side anastomosis. None of 7 patients treated with this technique had early or late paraplegia. Preliminary computed tomographic follow-up scans confirm patency of the cobrahead graft.
Medical subject headings
- Aorta, Thoracic
- Aortic Diseases
- Thorax