caa a22 4500 397496982 CHVBK 20180308164523.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1016/S1010-7940(95)80056-5 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(95)80056-5 Total aortic arch replacement by a cryopreserved aortic homograft [Elektronische Daten] The case is presented of a 60-year-old man with previous surgery on thetransverse aorta and a pseudoaneurysm of the aortic arch and hemoptysis.The patient was operated upon with cardiopulmonary bypass and cerebralperfusion. The aortic arch was resected preserving a cuff of the aortacontaining the three supra-aortic trunks. A bronchial fistula was closedwith a pediculated flap of the native arch. A long segment of cryopreservedhuman aorta (ascending, arch and upper descending thoracic aorta) wasinserted in the orthotopic position. The aortic cuff with the supra-aorticvessels was re-inserted onto the allograft. The patient is asymptomatic 2months after the operation. Aortic homografts are a good alternative incases with suspected infection or contamination, like this one. Otherconditions, such as infected aneurysms, infected grafts, aorto-esophagealfistula and aorto- gastrointestinal fistula, are potentially goodcandidates for homografting. We believe that this case is the first reportof a complete substitution of the aortic arch with a human cryopreservedhomograft. European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/9(1995-09), 531-533 1010-7940 9:9<531 1995 9 ejcts https://doi.org/10.1016/S1010-7940(95)80056-5 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(95)80056-5 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/9(1995-09), 531-533 1010-7940 9:9<531 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford