125 * TOTAL ARCH REPLACEMENT VERSUS MORE CONSERVATIVE MANAGEMENT IN TYPE A ACUTE AORTIC DISSECTION
نویسندگان
چکیده
منابع مشابه
Surgical management of acute type A aortic dissection: branch-first arch replacement with total aortic repair.
Acute type A dissection (ATAAD) remains a morbid condition with reported surgical mortality as high as 25%. We describe our surgical approach to ATAAD and discuss the indications for adjunct techniques such as the frozen elephant trunk or complete aortic repair with endovascular methods. Arch replacement using the "branch-first technique" allows for complete root, ascending aorta, and arch repl...
متن کاملTotal arch replacement for distal enlargement after ascending aortic replacement for acute type A aortic dissection.
OBJECTIVE Distal reoperations for aortic dissection are associated with high morbidity rates. We describe distal aortic enlargement that was treated using our surgical strategy. PATIENTS AND METHODS From January 1997 to April 2008, 63 patients underwent ascending aortic replacement for acute type A aortic dissection. Four patients (7.4%; 3 males, 1 female; mean age, 67.8 +/- 4.6 years) requir...
متن کاملTotal arch repair versus hemiarch repair in the management of acute DeBakey type I aortic dissection.
OBJECTIVE In acute DeBakey type I aortic dissection, it is still controversial whether to perform extended aortic replacement to improve long-term outcome or to use a conservative strategy with ascending aortic and hemiarch replacement to palliate a life-threatening condition. METHODS Between 1999 and 2009, 188 consecutive patients (93 women; mean age, 57.4±11.7 years) with acute DeBakey type...
متن کاملTotal Arch Replacement with Stented Elephant Trunk in DeBakey Type I Acute Aortic Dissection
A 67-year-old female patient was treated with conventional total arch replacement and insertion of a stented elephant trunk (SET) graft into the descending thoracic aorta for acute DeBakey type I aortic dissection at one time. She had been treated with right coronary artery stent insertion for acute myocardial infarct 4 days earlier, and at that time, she was diagnosed with acute DeBakey type I...
متن کامل[Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection].
OBJECTIVE To improve the long term outcomes of the surgery for Stanford type A aortic dissection, we performed ascending aorta and total aortic arch replacement combined with transaortic stented graft implantation into the descending aorta for acute and chronic type A aortic dissection. METHODS From April 2003 to March 2004, 40 consecutive patients with acute or chronic Stanford type A aortic...
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ژورنال
عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery
سال: 2014
ISSN: 1569-9293,1569-9285
DOI: 10.1093/icvts/ivu276.125