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

## TL;DR

This paper reviews techniques for connecting blood vessels during aortic surgery and introduces a new device to improve the process.

## Contribution

The paper introduces and demonstrates the use of the novel Duett Vascular Graft System for anastomosis during aortic arch surgery.

## Key findings

- The Duett Vascular Graft System is a novel device currently in clinical trial for facilitating anastomoses.
- The device can reduce circulatory arrest time and associated organ ischemia during surgery.
- A case is presented to showcase the practical utility of the Duett Vascular Graft System.

## Abstract

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.

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.

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.

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.