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BRACHIO‐CEPHALIC REVASCULARIZATION FROM THE INTRATHORACIC AORTA: USE OF A T‐PIECE GRAFT
Author(s) -
Bourke Bernard M.,
Greenhalgh Roger M.
Publication year - 1985
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1985.tb00951.x
Subject(s) - medicine , revascularization , aorta , cardiology , anatomy , myocardial infarction
Ready made T‐piece dacron grafts have been available for some time for use in axillo‐bifemoral procedures. This report illustrates the use of such a graft in two cases of brachiocephalic revascularization from the intrathoracic aorta. In each case the aortic arch branches were severely diseased. The technique allows placement of the 8 mm diameter limb on the ascending aorta deep to the sternum, where, because of its lack of bulk, it can sit without compression. The 8 mm side piece can be manoeuvred to follow any direction required and avoids placement of an anastomosis in an otherwise awkward area. If required, a third limb can be sutured onto the proximal limb beyond the region where compression would occur.