Objective:To explore a better clinical plan for aortic arch surgery by comparing two new improvements involving aortic arch surgery:left subclavian artery infusion combined with improved arch island anastomosis and improved arch priority surgery.Methods:From December 2019 to September 2022,13 patients in the Department of Cardiovascular Surgery,Affiliated Hospital of Xuzhou Medical University were retrospectively treated with Sun Shi surgery,7 patients were treated with left subclavian intubation perfusion combined with island anastomosis,and 6 patients were treated with arch priority surgery.Results:In the left subclavian priority group,compared with the arch priority group,the time of cardiopulmonary bypass was(241.6±27.8)vs.(156.0±45.5)min the time of aortic occlusion was(166.6±20.3)vs.(89.7±33.0)min,the length of stay in ICU was(13.3±3.0)vs.(3.8±1.9)d.18 months(range 11-24 months),no reoperation intervention and no death.Conclusions:Two new modified aortic arch surgery are safe and effective.Arch priority surgery can further shorten the time of cardiopulmonary bypass and aortic occlusion and shorten the stay time of patients in intensive care unit after operation.
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