Simplified technique of total aortic arch replacement with minimal circulatory and myocardial ischemia.

This manuscript describes the initial experience of 15 patients undergoing aortic arch replacement using a modification of the trifurcate arch technique described by Spielvogel and coworkers [1]. This technique provides continuous antegrade cerebral perfusion and minimal myocardial ischemia with mild hypothermia.
(Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)