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Stepwise external wrapping procedure for Stanford type A aortic dissection in extremely high-risk patients: case reports. | LitMetric

Stepwise external wrapping procedure for Stanford type A aortic dissection in extremely high-risk patients: case reports.

J Cardiothorac Surg

Department of Cardiovascular Surgery, Tsukuba Memorial Hospital, 1187-299 Kaname, Tsukuba, Ibaraki, 300-2622, Japan.

Published: June 2020

AI Article Synopsis

Article Abstract

Background: Acute aortic dissection (AAD) is a rare, but a life-threatening condition which can lead to coronary, brachiocephalic or branch vessel malperfusion, as well as aortic valve insufficiency, or aortic rupture. Mortality of surgical treatment in high-risk or elderly patients with Type A Acute aortic dissection (TAAAD) still remains high, and treatment for such patients remains controversial.

Case Presentation: A new surgical approach which entails "stepwise external wrapping (SEW)" using a zero-porosity artificial graft was developed in extremely high-risk patients with TAAAD. Herein, we described its surgical details and showed two representative cases which was successfully done.

Conclusions: Our SEW procedure is a feasible alternative to conventional graft replacement for TAAAD in extremely high-risk or aged patients, although the gold standard consists of surgical replacement of the dissected aorta. (129 words).

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7291704PMC
http://dx.doi.org/10.1186/s13019-020-01142-xDOI Listing

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