Total videoscopic bypass graft implantation on the ascending aorta for lower limb revascularization.

Javerliat, Isabelle; Coggia, Marc; Di Centa, Isabelle; Alfonsi, Pascal; Colacchio, Giovanni; Kitzis, Michel; Goëau-Brissonnière, Olivier · J Vasc Surg · 2005

case_report · Level V

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Abstract

An extra-anatomic bypass initiating from the ascending aorta, namely the ventral aorta, is a possible alternative for lower limb revascularization. However, acceptance of this technique is limited by the need of a median sternotomy and clamping of the ascending aorta. We report a new technique for the ventral aorta using a total videoscopic approach of the ascending aorta, which avoids the need for a median sternotomy. We discuss the advantages and perspectives of this new approach.

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