Supra-Aortic Vessel Anastomosis in Arch Reconstruction: An Overview of Existing Techniques and Report of a Novel Anastomotic Device.

Purpose: This article reviews techniques of supra-aortic anastomosis and presents the use of the novel Duett Vascular Graft System during a complex total arch repair. Description: The literature was reviewed for existing techniques and devices pioneered to facilitate anastomoses of the supra-aortic vessels during a total arch procedure. A case was then presented to showcase the utility of the Duett Vascular Graft System. Evaluation: Improving the efficiency of supra-aortic branch vessel anastomosis can reduce circulatory arrest time and the resulting cerebral, spinal, and distal organ ischemia. Therefore, various techniques and technologies have been developed for more expeditious revascularization. The Duett Vascular Graft System is one such device currently in clinical trial that facilitates supra-aortic vessel anastomosis during open aortic arch surgery. Conclusions: This case showcases the utility of the Duett Vascular Graft System. This novel device allows surgeons to more efficiently perform supra-aortic anastomoses, which can reduce cerebral ischemia and circulatory arrest.