Ascending aorta in patient with previous total arch

A very rare case of Ascending aorta in patient with previous total arch replacement fistula to right internal mammary with profound bleeding and hematoma beneath the sternum undergone off pump direct repair with stitches and interposed tissue.

Dr.Sam Zeraatian Nejad Davani, CEO of rockingham medical research ADKWA center as well as Head of IUMS transplant and cardiovascular surgery department.