The aorta is the body’s largest artery. It runs from the heart, through the chest, and down into the abdomen. Aortic arch conditions are abnormalities in the structure of the arteries that branch off the top of the aorta. These abnormalities can reduce blood flow to vital organs. Aortic arch disease can result from blood pressure changes, clots, trauma, a congenital disorder, or Takayasu’s arthritis, an autoimmune disorder that inflames the aorta and the pulmonary artery.
Types of surgery for aortic arch in India
Surgery on the aortic arch is a highly complex operation. It is an open-heart operation that incorporates cooling the body to hypothermic temperatures, deliberately stopping the heart pumping and connecting it to a cardio-pulmonary bypass machine. The damaged aorta is then reconstructed using a synthetic tube or graft. Significant risks are associated with these perations.
Contingent upon the area of the harmed aorta and the patient’s condition of health, a hybrid surgical approach might be possible. By definition, this involves a condensed portion of open-heart surgery, followed by a less invasive repair utilizing an endovascular approach. Both stages can be performed during the same operation, or may be separated by a short period of recovery. The two main hybrid procedures are known as the “frozen elephant trunk” and the “arch debranching approach .
Frozen elephant trunk
This operation might be appropriate if there is damage to both the aortic curve and the descending aorta. The affected aortic arch is repaired as per the conventional approach in an open-heart procedure. The tube is ‘fixed’ in position by its expansile nature. Then again, a portable, non-expansive can be utilized. By basically wrapping within the aorta, it reduces the risks of future rupture and tears.
This approach removes the need for circulatory arrest and cardiopulmonary bypass. During open-heart surgery, the main blood vessels branching off from the aortic arch are reconnected to an unaffected part of the aorta, giving the appearance that the aortic arch is ‘de-branched’. A tube is then inserted within the aorta to prevent further complications.Book an instant appointment with the best cardiac surgeon at Fortis Hospital Delhi by calling Dr. Ashok Seth appointment number +91-9370586696.
Dr. Ashok Seth most renowned cardiologist in fortis Delhi, India
Dr. Ashok Seth is the current Chairman of Fortis Escorts Heart Institute, New Delhi and Head, Cardiology Council of Fortis Group of Hospitals. His commitments in the field of Cardiology, particularly Interventional Cardiology have been perceived extensively in India as well as across the world. During his career span of 30-years, he has pioneered numerous angioplasty techniques Directional Atherectomy, Angioscopy, Stents, Thrombectomy devices and Drug Eluting Stents, and TAVI and implemented it successfully both in India and other regions in Asia Pacific. Dr. Ashok seth most renowned cardiologist in Fortis delhi he has performed one of the highest number of angiographies and angioplasties which has been mentioned in the ‘LIMCA Book of Records’. He has been a part of the Focused Advisory Group and seminal studies for development and clinical applicability of Bioresorbable Scaffold (BRS) Stent which is highly recognised technique worldwide.
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