Key result
Total aortic arch replacement using a branched graft achieves successful recovery and day 7 discharge.
Case Report (n=1)
First successful total aortic arch replacement reported in Nepal.
Feasibility of total arch replacement shown in Nepal; leaves open generalizability and durability beyond this case.
Aortic arch replacement is formidable cardiac surgery that is fraught with complications like brain injury, coagulopathy along with high mortality. Over the past several years, various techniques like deep hypothermic circulatory arrest, retrograde cerebral perfusion, and selective antegrade cerebral perfusion along with branched graft techniques have been developed with better early outcomes. We share our experience of successful replacement of ascending and total aortic arch in a 60 years old female, who presented with ascending and aortic arch aneurysm.
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Timala et al. (2021) conducted a case report in Ascending and aortic arch aneurysm (n=1). Total aortic arch replacement with selective antegrade cerebral perfusion and branched graft was evaluated on Surgical success and post-operative recovery.
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