How is ascending aortic replacement accomplished during surgical repair of thoracic aortic aneurysm (TAA)?

Updated: Apr 02, 2021
  • Author: Elaine Tseng, MD; Chief Editor: Mary C Mancini, MD, PhD, MMM  more...
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Answer

CPB is established, and the aorta is cross-clamped just below the innominate artery. The heart is arrested with cardioplegia. The aorta is transected at the sinotubular junction and sized for the appropriate Dacron tube graft. The tube graft is sutured to the proximal aorta with running 4-0 polypropylene with a strip of felt. The tube graft is measured to length distally and sutured to the distal aorta using running 4-0 polypropylene with a strip of felt.


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