FIELD: medicine.
SUBSTANCE: L-shaped sternotomic access to branches of thoracic aorta is performed. Temporary switch of blood circulation in brachiocephalic pool is realised. Temporary switch of blood circulation in brachiocephalic pool is realised by formation of main temporary bypass with 20 mm diameter between ascending part of arch and descending thoracic aorta. Additional bifurcation temporary bypass is formed, anastomosed with the main one, with the following formation of anastomosis between branch of additional bifurcation temporary bypass and right subclavicular artery. After that left common carotic artery is cannulated through branch of additional bifurcation temporary bypass.
EFFECT: method makes it possible to reduce the risk of development of intraoperative complication in form of ischemic stroke on the side of carotid artery clamping, as well as the risk of development of postoperative infectious complications, bypass migration; reduces operation cost.
1 ex, 14 dwg
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