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Aortic arch replacement with prophylactic aortic arch debranching during type A acute aortic dissection repair: initial experience with 23 patients.
Eur J Cardiothorac Surg
August 2011
Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Monasterio Fondation-CNR, Via Aurelia Sud 54100, Massa, Italy.
Objective: To improve the long-term results of acute type A dissection repair, we developed a technique that combines radical surgical resection, and, at the same time, creates a safe and long landing zone for subsequent endovascular procedure on the descending aorta.
Methods: Since November 2006, 23 patients (62 ± 13 years) underwent aortic arch replacement concomitant with prophylactic debranching of the supra-aortic vessels, with a specially designed arch graft. The technique consists of replacing the ascending aorta and the aortic arch, and, at the same time, relocating the origin of the supra-aortic vessels just above the sinotubular junction creating a long and safe proximal landing zone for subsequent stent-graft deployment.
Banding technique for endovascular repair of arch aneurysm with unsuitable proximal landing zone.
Circ J
December 2008
Division of Cardiovascular Surgery, Department of surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
Background: Endovascular repair of thoracic aortic aneurysms is an attractive alternative to surgical graft replacement, but many patients are excluded because of unsuitable proximal landing zones wider than 38 mm in diameter. Arch aneurysms can be repaired with less invasive hybrid surgery, combining endovascular stent grafting with banding of the proximal landing aorta.
Methods And Results: Since November 2006, 6 of 88 patients underwent hybrid aortic arch repair with presumptive zone 0 as the proximal landing site where the median maximal diameter was 42.
Extending hybrid approach to residual Stanford type A dissecting aortic aneurysm.
Interact Cardiovasc Thorac Surg
October 2008
Department of Surgery, Division of Cardiovascular Surgery, Taipei Veterans General Hospital, Taipei, Taiwan.
Residual Stanford type A dissecting aortic aneurysm was frequently encountered several years after emergent repair. Surgical approach remained challenging and hazardous, not only due to the extensive involvement of the dilated false lumen but also the high comorbidity of redo sternotomy and extensive thoraco-abdominal procedure. We present a modified hybrid technique incorporating arch replacement with bifurcated graft to relocate supra-aortic branches followed by anastomosis with reverse sleeve graft of elephant trunk over distal arch.
View Article and Find Full Text PDFRelocation of supra-aortic vessels to facilitate endovascular treatment of a ruptured aortic arch aneurysm.
J Thorac Cardiovasc Surg
October 2003
Department of Cardiothoracic Surgery, University Hospital, Groningen, The Netherlands.
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