| Adventitial inversion with graft telescopic insertion for distal anastomosis in acute type a aortic dissection. | |
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MedLine Citation:
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PMID: 22791008 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Bartosz Rylski; Matthias Siepe; Philipp Blanke; Wulf Euringer; Joachim Schoellhorn; Friedhelm Beyersdorf |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: 18 ISSN: 2186-1005 ISO Abbreviation: Ann Thorac Cardiovasc Surg Publication Date: 2012 |
Date Detail:
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Created Date: 2012-07-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 278-80 Citation Subset: IM |
Affiliation:
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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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