Aortic Arch Reconstructive Surgery

This chapter focuses on the surgical reconstruction of the aortic arch and highlights surgical indications and techniques for aneurysmal disease as well as in the setting of aortic dissection. Surgical approaches for both conventional hemiarch and total arch reconstruction as well as hybrid arch and Frozen Elephant trunk procedures are discussed here. Additionally, we describe our approach to the management of the difficult left subclavian artery in aortic arch surgery, a topic that is infrequently discussed within the literature but can pose a major challenge. Lastly, this chapter highlights the excellent surgical results published in larger studies to give the reader an idea of the expected outcomes from these complex and technically challenging operations.