Differential outcomes of open and clamp-on distal anastomosis techniques in acute type A aortic dissection
نویسندگان
چکیده
منابع مشابه
Open distal anastomosis technique in acute type A aortic dissection
Background Acute ascending aortic dissections is the most common catastrophe of the aorta that requires emergency surgery. There is still a debate regarding the optimal surgical approaches for construction of the distal anastomosis in replacing the ascending aorta. The purpose of this study was to evaluate early clinical outcomes of two different surgical techniques: open distal anastomosis in ...
متن کاملAdventitial inversion with graft telescopic insertion for distal anastomosis in acute type a aortic dissection.
PURPOSE One current method of anastomosis in aortic dissection type A is the adventitial inversion technique. To improve hemostasis at the anastomotic site, we have developed a novel technique for distal anastomosis involving adventitial inversion employing graft telescopic insertion. METHODS The adventitia was inverted into the aortic lumen and the anastomosis with a Dacron tube-graft was ma...
متن کاملAcute Type A Dissection and Acute Inferior MI Complicating Aortic Coarctation: A Case Report
Aortic coarctation is a rare but dangerous condition. Presence of aortic dissection in addition to coarctation is significantly rarer and more life-threatening. Here, we present a case of acute inferior MI due to aortic dissection complicating a native aortic coarctation. A 17-year-old boy was admitted to our emergency department due to severe chest pain and loss of consciousness. His ele...
متن کاملOpen and closed distal anastomosis for acute type A aortic dissection repair: early and long-term outcomes from a contemporary series of 204 patients.
OBJECTIVES The current consensus favours an open distal anastomosis for aortic dissection repair. A small number of experiences have compared early and long-term outcomes between closed and open distal anastomosis in the setting of acute aortic dissection. METHODS We reviewed our experience in 204 patients who underwent repair of spontaneous acute type A aortic dissection between January 2000...
متن کاملDifferent techniques of distal aortic repair in acute type A dissection: impact on late aortic morphology and reoperation.
OBJECTIVE To compare three different techniques of distal aortic repair in acute type A (de Bakey type I) aortic dissection and to evaluate their impact on the late morphology of the aortic arch and descending aorta and on the incidence of reoperation. METHODS From 65 patients operated on due to an acute type A aortic dissection between 1989 and 1993, 54 long-term survivors underwent clinical...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2019
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2018.09.020