| Extensive primary repair of the thoracic aorta in acute type a aortic dissection by means of ascending aorta replacement combined with open placement of triple-branched stent graft: early results. | |
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MedLine Citation:
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PMID: 20855660 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: To simplify extensive primary repair of the thoracic aorta in acute type A aortic dissection, we developed the open triple-branched stent graft placement technique. The early results of this new technique are reported. METHODS AND RESULTS: Between June 2008 and November 2009, 30 patients with acute Stanford type A aortic dissection underwent extensive primary repair of the thoracic aorta by means of ascending aorta replacement combined with open placement of triple-branched stent graft. Placement of the triple-branched stent graft into the true lumen of the descending aorta, arch, and 3 arch vessels was technically successful in all patients. The mean cardiopulmonary bypass time, aortic cross-clamp time, and lower body arrest time were 151.8 ± 16.69, 84.1 ± 6.97, and 31.17 ± 5.34 minutes, respectively. The postoperative mechanical ventilation support period and duration of intensive care unit stay were 17.93 ± 2.35 and 62.10 ± 9.24 hours, respectively. All implanted stent grafts were fully opened and not kinked; there was no space or blood flow surrounding the triple-branched stent graft and no sidearm graft stenosis or occlusion. The false lumen of the descending aorta distal to the stent graft closed with thrombus in 25 of 30 patients at their first postoperative scans and in 26 of 30 at the 3-month postoperative scan. CONCLUSIONS: Open triple-branched stent graft placement is an effective technique with satisfactory early results. With this technique, extensive primary repair of the thoracic aorta may become easier and safer for acute type A aortic dissection. |
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Authors:
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Liang-Wan Chen; Xiao-Fu Dai; Lin Lu; Gui-Can Zhang; Hua Cao |
Publication Detail:
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Type: Journal Article Date: 2010-09-20 |
Journal Detail:
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Title: Circulation Volume: 122 ISSN: 1524-4539 ISO Abbreviation: Circulation Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-10-05 Completed Date: 2010-10-29 Revised Date: 2011-07-27 |
Medline Journal Info:
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Nlm Unique ID: 0147763 Medline TA: Circulation Country: United States |
Other Details:
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Languages: eng Pagination: 1373-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, China. chenliangwan@tom.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aneurysm, Dissecting / surgery*, ultrasonography Aorta, Thoracic / surgery*, ultrasonography Aortic Diseases / surgery* Coronary Artery Bypass / methods Echocardiography Equipment Design Female Humans Intensive Care Units Length of Stay Male Marfan Syndrome / complications, surgery Middle Aged Postoperative Period Stents* Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Circulation. 2011 Jun 7;123(22):e619; author reply e620
[PMID:
21646502
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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