Clin Surg | Volume 2, Issue 1 | Case Report | Open Access

Endovascular Total Arch Repair Using In Situ Laser Fenestration

Alexander Bridges*, Samvel Nazaretyan, John Kaufman, Frederick Tibayan and Victor M Rodriguez

Department of Cardiothoracic Surgery,The Dotter InstituteOregon Health and Science University, Portland, OR 97239, USA

*Correspondance to: Alexander Bridges 

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Repair of the aortic arch can pose a challenge to surgeons regardless of pathology. Although open surgical techniques offer solutions for complex aortic abnormalities, they are morbid and technically difficult procedures that carry considerable risk. Many techniques are associated with serious postoperative setbacks. In the aortic arch, cerebral perfusion must be balanced with repair of complex pathology. In situ fenestration of aortic stent grafts with temporary cerebral perfusion may allow these complex aortic pathologies to be treated minimally invasively with faster recovery, lower morbidity, and lower mortality.


Bridges A, Nazaretyan S, Kaufman J, Tibayan F, Rodriguez VM. Endovascular Total Arch Repair Using In Situ Laser Fenestration. Clin Surg. 2017; 2: 1463.

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