%0 Case Reports
%T Redo aortic root and arch replacement with 3 different homografts.
%A Protopopov A
%A Limansky A
%A Khvan D
%A Sirota D
%A Zhulkov M
%A Bogachev-Prokophiev A
%A Nikitin M
%A Zheravin A
%A Agaeva K
%J Multimed Man Cardiothorac Surg
%V 2024
%N 0
%D 2024 Jul 17
%M 39016672
暂无%R 10.1510/mmcts.2024.044
%X A 74-year-old male entered the hospital with a medical history of an aortic arch and a descending thoracic aneurysm. To prevent arm ischaemia after the frozen elephant trunk procedure, a left subclavian artery to left common carotid artery anastomosis was performed. The postoperative period was complicated by sepsissternal infection and mediastinitis. We decided to perform a combined total aortic root and aortic arch replacement with 3 cryopreserved homografts. In addition, the "reverse arch technique" was applied to adapt the distal anastomosis. The operation is associated with a high risk of mortality in the postoperative period.