Reoperations on Thoracic Aorta and Aortic Root: Surgical Technique and Pitfalls

Abstract

Repeat operations involving the aortic root, ascending aorta, and arch (proximal aorta) are technically challenging. These procedures are associated with higher operative mortality and morbidity. A dedicated surgical team with special skill set is essential to manage these complex patients. Redo root and proximal aortic procedures can be done with acceptable risk in most patients with attention to details involving the surgical procedure, patient selection, and perioperative management.

Keywords

ascending aorta - aortic root - reoperation - cerebral protection - myocardial protection - extracorporeal membrane oxygenator - circulatory arrest

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