![]() The other types of aortic arch found continued this classification, being referred to as Type IX, X and XI. in his revision article published in 2009. There were no right recurrent laryngeal nerve injuries in our series. Classification of types of aortic arches We used the rating by Natsis et al. The right recurrent laryngeal nerve is easy to identify and preserve. After dissection, the RScA is quite mobile with little tension a majority of the time. Medial retraction of the innominate artery could facilitate the exposure of proximal RScA ( Video 1). aortic valve disease Congenitally dysplastic valve Unicuspid aortic valve. The dissection of the RScA should be very close the artery, to avoid injury to the right recurrent laryngeal nerve. Types of congenital heart disease Isolated shunts Atrial septal defect. In the long term, using the RScA eliminates the risk of thrombosis from the graft material sewn to the innominate artery causing postoperative and late stroke or transient ischemic attack. It provides an alternative option if the innominate artery is involved in the dissection and perfuses the right vertebral artery for additional cerebral perfusion. It also avoids blocking the blood flow to the right common carotid artery, manipulation of the innominate artery, and the increased risk of neurologic complications from ischemia due to clamping and the potential for embolic stroke. Use of the RScA via intrathoracic cannulation prevents the additional incision and the added risks (increased potential for blood loss outside the surgeon's direct vision and brachial plexus injury) as in axillary artery cannulation. In this study, we report a low rate of neurologic complications, operative mortality, and no complications of the RScA or right upper extremity with intrathoracic RScA cannulation in aortic arch surgery with ACP. Postoperative length of stay, d, median (IQR) Types of Repair Aortic Valve and Ascending Aorta Replacement (with Hemiarch Replacement) Tissue Valved Conduit Root Repair with Hemiarch Replacement Type A. ent types of right aortic arches (with a left subclavian artery versus mirror. Postoperative myocardial infarction, n (%) The most common type of aortic arch anomaly is a left aortic arch with an. Preoperative creatinine, mg/dL, median (IQR) Table 1 Demographics and preoperative outcomes VariableĬhronic obstructive pulmonary disease, n (%) ![]()
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