Legends
Figure 1. Chest CTA with contrast showing preoperative acute DeBakey type I dissection. A) Ascending aortic dissection with true and false lumens visualized. Proximal ascending aorta with aneurysmal dilation at 54.9 mm. B) Descending thoracic aortic dissection with true and false lumens identified. Previous thoracic aorta synthetic dacron graft visualized and intact.
Figure 2. Ethibond valve sutures placed circumferentially in the distal aortic anastomosis before Cor-Knot fastening.
Figure 3. Total aortic arch replacement with trifurcated graft technique and Cor-Knot automated fastener use in distal aortic anastomosis.
Figure 4. Chest CTA with contrast showing postoperative total aortic arch replacement with Cor-Knot automated fastening. A) Trifurcated graft anatomy displayed. B) Distal aortic anastomosis with Cor-Knot automated fastening.