Extending hybrid approach to residual Stanford type A dissecting aortic aneurysm

I. Ming Chen, Chun Che Shih

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

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 comorbility 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. After stent graft insertion over proper landing zone, all the communicating holes could be sealed and the compressed true lumen of descending aorta would be fully dilated. This technique not only simplified some laborious situations but also simultaneously resolved the entire thoracic dissection segment with an acceptable and optimal midterm result.

Original languageEnglish
Pages (from-to)794-796
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume7
Issue number5
DOIs
Publication statusPublished - Oct 1 2008
Externally publishedYes

Keywords

  • Aortic dissection
  • Aortic operation
  • Endovascular procedures/stents

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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