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Adventitial Inversion with Graft Telescopic Insertion for Distal Anastomosis in Acute Type A Aortic Dissection.
MedLine Citation:
PMID:  22374077     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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 made in a telescopic method, covering the inverted adventitia. Results: Five patients have undergone emergency ascending aortic replacement for aortic dissection by one surgeon using this technique. There have been no reoperations for bleeding or false aneurysm.Conclusion: Complete coverage of the inverted adventitia eliminated the potential risk of thrombus formation. Graft telescopic insertion lead to complete hemostasis.
Authors:
Bartosz Rylski; Matthias Siepe; Philipp Blanke; Wulf Euringer; Joachim Schoellhorn; Friedhelm Beyersdorf
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-29
Journal Detail:
Title:  Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia     Volume:  -     ISSN:  1341-1098     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9703158     Medline TA:  Ann Thorac Cardiovasc Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
University Cardiovascular Center Freiburg-Bad Krozingen, Freiburg, Germany.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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