Thorac cardiovasc Surg
DOI: 10.1055/s-0036-1597593
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

No Clamp Complete Parachute Technique for Ascending Aorta Anastomosis in Hybrid Aortic Arch Debranching Surgery

I-Ming Chen1, 2, Po-Lin Chen1, 2, Hsiao-Huang Chang1, 2
  • 1Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan
  • 2Department of Medicine, School of Medicine, National Yang-Ming University, Taiwan
Further Information

Publication History

19 October 2016

10 November 2016

Publication Date:
03 January 2017 (eFirst)


The proper proximal landing zone is a key element for success of endografting in thoracic aortic pathology. If coverage of innominate artery is unavoidable for safe proximal landing, arch debranching surgery is necessary to recruit supra-aortic blood flow before endografting. However, calcified or adhesive ascending aorta makes it difficult to clamp ascending aorta for anastomosis in the first step of arch debranching surgery. We present a novel “no clamp complete parachute technique” to complete this challenging anastomosis.