| Stanford type A aortic dissection. A new surgical approach. | |
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MedLine Citation:
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PMID: 9566066 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a new surgical technique adopted for the repair of Stanford type A aortic dissection. In order to minimize the risk of malperfusion caused by retrograde flow during cardiopulmonary bypass, we avoid femoral artery cannulation. On the hypothesis that it is best not to interfere with the hemodynamics of the dissection, we cannulate the dissected ascending aorta, in either the true or false lumen. We here report 2 cases of successful surgical treatment of Stanford type A aortic dissection. In both cases, the false lumen was cannulated under deep hypothermic circulatory arrest, without clamping the aorta. While the patient was cooling, a 10-mm GORE-TEX side arm was sutured to a Dacron graft prosthesis. Repair of the aortic arch was carried out 1st. The aortic cannula was inserted into the GORE-TEX side arm, the tubular prosthesis was cross-clamped, and cardiopulmonary bypass was reinstituted. After this, the aortic bulb was repaired as usual and the tubular prosthesis was sutured to the bulb. No postoperative cerebral complication occurred. Our experience must be confirmed by more cases and a longer follow up. |
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Authors:
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A Lijoi; F Scarano; V Dottori; E Parodi; G Casali; F Bartolozzi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 25 ISSN: 0730-2347 ISO Abbreviation: Tex Heart Inst J Publication Date: 1998 |
Date Detail:
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Created Date: 1998-06-16 Completed Date: 1998-06-16 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 65-7 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, University of Genoa, Hospital San Martino, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aneurysm, Dissecting / diagnosis, physiopathology, surgery* Aneurysm, False / diagnosis, physiopathology, surgery Aortic Aneurysm, Thoracic / diagnosis, physiopathology, surgery* Aortography Biocompatible Materials Blood Flow Velocity Blood Vessel Prosthesis* Blood Vessel Prosthesis Implantation / instrumentation, methods* Cardiopulmonary Bypass Female Follow-Up Studies Humans Male Middle Aged Polyethylene Terephthalates* Tomography, X-Ray Computed Ultrasonography, Doppler |
| Chemical | |
Reg. No./Substance:
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0/Biocompatible Materials; 0/Polyethylene Terephthalates |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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