J Surg Tech Proced | Volume 9, Issue 1 | Case Report | Open Access

Reconstruction of the Left Subclavian Artery During Circulatory Arrest for Total Arch Replacement with Frozen Elephant Trunk

Koki Yokawa, Yosuke Tanaka, Tomonori Higuma, Kazunori Yoshida, Hidefumi Obo, and Hidetaka Wakiyama^*

Department of Cardiovascular Surgery, Kakogawa Central City Hospital, Hyogo, Japan

^*Correspondance to: Hidetaka Wakiyama 

Abstract

In recent years, the use of frozen elephant trunk for distal aortic arch aneurysms has become more common, facilitating total arch replacement. Specifically, when the distal anastomosis is located between the left common carotid artery and the left subclavian artery, the left subclavian artery can be reconstructed either through a bypass to the left axillary artery or creation of a fenestration in the stent graft system. In our case, a technique to securely and safely reconstruct the left subclavian artery was adopted by performing an anastomosis within the mediastinum during circulatory arrest before the distal anastomosis. This report describes this approach.

Keywords:

Frozen elephant trunk; Total arch replacement; Left subclavian artery

Citation:

Yokawa K, Tanaka Y, Higuma T, Yoshida K, Obo H, Wakiyama H. Reconstruction of the Left Subclavian Artery During Circulatory Arrest for Total Arch Replacement with Frozen Elephant Trunk. J Surg Tech Proced. 2025; 9(1): 1078..