Should the “ elephant trunk ” be skeletonized ? Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection
نویسندگان
چکیده
文章来源:Acquired Cardiovascular Objectives: To eliminate the residual false lumen in the descending thoracic aorta and improve long-term outcomes of surgical intervention for Stanford type A aortic dissection, we performed the skeletonized “elephant trunk” procedure in the ascending aorta and aortic arch replacement combined with transaortic stented graft implantation into the descending aorta for both acute and chronic type A aortic dissection, and the short-term results were compared.
منابع مشابه
[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...
متن کاملTotal arch replacement combined with stented elephant trunk implantation: a new "standard" therapy for type a dissection involving repair of the aortic arch?
BACKGROUND Appropriate surgical management of type A dissection is a critical factor for achieving satisfactory outcome, but the choice of optimal procedure is controversial. We retrospectively reviewed our experience with aortic arch replacement for type A dissection involving the arch. METHODS AND RESULTS Excluding 14 cases of subtotal or total aortic replacement, 411 of 544 patients with t...
متن کاملOne-stage hybrid approach for type A acute aortic dissection repair: just because we can, should we do it?
trunk procedure combined with ascending aorta and arch replacement for acute type A aortic dissection. Should the 'elephant trunk' be skeletonized? Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection. Kitamura S. Is emergency total arch replacement with a modified elephant trunk technique justified for acute type A aortic dissection?gra...
متن کاملA modified total arch replacement combined with a stented elephant trunk implantation for acute type A dissection under deep hypothermic circulatory arrest and selective antegrade cerebral perfusion
OBJECTIVES Since the optimal management of patients with acute aortic dissection is unclear, this study analyzed total arch replacement combined with stented elephant trunk implantation in the treatment of acute type A aortic dissection. METHODS Between February 2008 and February 2013, 86 consecutive patients admitted to our hospital for acute type A dissection underwent total arch replacemen...
متن کاملDr. Sun's Procedure for Type A Aortic Dissection: Total Arch Replacement Using Tetrafurcate Graft With Stented Elephant Trunk Implantation.
Sun's procedure is a modified elephant trunk technique that integrates the advantages of open surgical and endovascular repairs as a treatment of type A aortic dissection. It is named after Dr. Li-Zhong Sun and refers to total arch replacement using a four-branched graft with implantation of a special stented endovascular graft. Since its introduction, it has produced excellent early and late c...
متن کامل