MONOGRAFT RECONSTRUCTION OF ALL THE MAJOR AORTIC-ARCH TRUNKS

Male aged 56 years, a smoker of 60 cigarettes daily, with multifocal d isease, presented with vertigo, headaches, syncopal crises and intermi ttent claudication in both lower extremities. Angiography revealed pre -occlusive stenosis at the origin of the innominate artery, a signific ant degree of stenosis at the origin of the left common carotid and oc clusion of the left subclavicular artery with steal syndrome as well a s injury to the aortoiliac system. Revascularisation of all the branch es of the aortic arch concomitantly was achieved with the technically simple monograft method using only one Dacron double velour 8 mm prost hesis, restoring circulation to both the cerebral and upper extremitie s without postoperative complications. Eight years later the subjectiv e clinical findings have remained unchanged. Angiography revealed good function of the graft and subjectively the patient remains in satisfa ctory condition.