Key result
A one-step hybrid frozen elephant trunk procedure with left subclavian artery cannulation was utilized in five patients to perfuse the spinal cord during circulatory arrest.
A one-step hybrid procedure with left subclavian artery side graft cannulation is a reported approach for managing complex aortic pathology involving the ascending aorta, arch, and descending aorta.
May support feasibility of subclavian cannulation for spinal perfusion in hybrid FET; leaves open validation in larger studies.
Patients with aortic pathology involving the ascending aorta, the arch, and the descending aorta present a complex surgical challenge. A one-step hybrid procedure with ascending aorta repair, arch debranching, and frozen elephant trunk is reported in five patients. Left subclavian artery side graft cannulation is used to perfuse the spinal cord during circulatory arrest time.
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Martinelli et al. (2014) studied this question. A one-step hybrid frozen elephant trunk procedure with left subclavian artery cannulation was utilized in five patients to perfuse the spinal cord during circulatory arrest.
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