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On-line version ISSN 1029-3019


MACHIN RODRIGUEZ, Jorge Carlos et al. Total replacement of the arch with trifurcated vascular graft in Stanford's A Type aortic dissection. MEDISAN [online]. 2011, vol.15, n.5, pp.666-673. ISSN 1029-3019.

Aortic arch surgery is particularly complicated; however, severity and clinical course of the diseases that affect this vascular structure suggest that it is advisable to undergo the difficult intervention in most of the cases. In Cuba, there are many technical conditions to carry it out but no reports of patients operated due to that cause have been registered. The first successful replacement of the whole arch was achieved in Santiago de Cuba's Heart Center, taking into account the accumulated experience in upper aortic resection. That is why the results of this complex surgery are described, and current tendencies according to cerebral protection and surgical procedures are explained, as well as the chosen criteria to select the applied technical variant are set out.

Keywords : aortic arch; trifurcated vascular graft; Stanford's aortic dissection; heart disease.

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