101 Total Aortic Arch Repair Without Circulatory Arrest Using Hybrid Techniques - A Novel Treatment For Acute Type A Dissection

2012 ◽  
Vol 28 (5) ◽  
pp. S125-S126
Author(s):  
J.J. Appoo ◽  
E.J. Herget ◽  
W.D. Kent ◽  
S.K. Smith ◽  
J.K. Wong
Keyword(s):  
Aortic Arch ◽  
Circulatory Arrest ◽  
Type A ◽  
Acute Type ◽  
Hybrid Techniques ◽  
Acute Type A Dissection ◽  
Novel Treatment ◽  
Type A Dissection ◽  
Aortic Arch Repair

scholarly journals Sedatives during circulatory arrest are not necessary for aortic arch repair in acute type A aortic dissection

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Alexander O. Makkinejad ◽  
Jeffrey Clemence ◽  
Elizabeth L. Norton ◽  
Linda Farhat ◽  
Xiao-Ting Wu ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Aortic Arch ◽  
Circulatory Arrest ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Aortic Arch Repair

Double Aortic Arch Complicated by Acute Type A Dissection in an Aged Patient

2017 ◽  
Vol 104 (2) ◽  
pp. e187 ◽  
Author(s):  
Kenji Toyokawa ◽  
Yukinori Moriyama ◽  
Takayuki Ueno ◽  
Kazuya Terazono ◽  
Yoshihiro Fukumoto
Keyword(s):  
Aortic Arch ◽  
Type A ◽  
Double Aortic Arch ◽  
Acute Type ◽  
Aged Patient ◽  
Acute Type A Dissection ◽  
Type A Dissection

Concomitant aortic arch and root replacement using a stentless xenograft for acute type a dissection

2001 ◽  
Vol 49 (6) ◽  
pp. 365-367 ◽  
Author(s):  
Toshiki Takahashi ◽  
Yasuhisa Shimazaki ◽  
Takao Watanabe ◽  
Takashi Minowa ◽  
Tetsurou Uchida ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Type A ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Type A Dissection

scholarly journals Mild Hypothermic Circulatory Arrest with Lower Body Perfusion for Total Arch Replacement Via Upper Hemisternotomy in Acute Type A Dissection

2021 ◽  
Vol 24 (2) ◽  
pp. E345-E350
Author(s):  
Hui Jiang ◽  
Yu Liu ◽  
Zhonglu Yang ◽  
Yuguang Ge ◽  
Yejun Du
Keyword(s):  
Mild Hypothermia ◽  
Circulatory Arrest ◽  
Type A ◽  
Hypothermic Circulatory Arrest ◽  
Total Arch Replacement ◽  
Acute Type ◽  
Lower Body ◽  
Acute Type A Dissection ◽  
Significant Difference ◽  
Type A Dissection

Background: Mild hypothermia circulatory arrest combined with lower body perfusion (LBP) might be beneficial for the recovery of patients with acute type A dissection. However, the safety of mild hypothermic circulatory arrest with LBP used in total arch replacement combined with frozen elephant trunk implantation (FET) via single upper hemisternotomy approach is ambiguous. Methods: We retrospectively analyzed 70 consecutive patients with acute type A dissections who underwent total arch replacement combined with FET between April 2019 to December 2019. These individuals were divided into the moderate (MO) group (N = 39, surgery performed at moderate hypothermic circulatory arrest) and the mild (MI) group (N = 31, surgery conducted at mild hypothermic circulatory arrest with LBP). Perioperative characteristics were recorded. Results: No significant difference in any of the pre- and intraoperative variables was observed between the two groups except for circulatory arrest time, which was significantly shorter in the MI group compared with the MO group [10 (8-11) min vs. 35 (31- 34) min, P = 0.000]. After operation, ventilation times [19 (16 - 24) h vs. 24 (17 - 43) h, P = 0.046] and ICU stay [41 (34 - 58) h vs. 54 (42 - 85) h, P = 0.002] were significantly shorter in the MI group compared with the MO group. Conclusions: Total arch replacement combined with FET at mild hypothermia circulatory arrest with lower body antegrade perfusion via single upper hemisternotomy approach is safe and feasible with significantly shorter time of circulatory arrest compared with no LBP.

Abstract 751: Retrograde Acute Type A Aortic Dissection: Are Outcomes Worse Than Classic Acute Aortic Dissection?

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Anthony L Estrera ◽  
Charles C Miller ◽  
Ali Azizzadeh ◽  
Taek-Yeon Lee ◽  
Saad Abdullah ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Circulatory Arrest ◽  
Type A ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Acute Type A Dissection ◽  
Initial Symptoms ◽  
Type A Dissection ◽  
Poor Outcomes

Introduction: Recent reports of retrograde acute type A aortic dissection (RTAAD) following thoracic aortic endovascular repair have been associated with poor outcomes. This raises concerns about outcomes with RTAAD in general. We report and compare outcomes of retrograde acute Type A aortic dissection repair with classic acute aortic dissection (CAAD). Methods: Between 8/1991 and 5/2008, we repaired 322 patients with acute type A dissection. This cohort was divided into two groups: RTAAD Group (52 cases), and CAAD Group (270 cases). RTAAD was defined as the presence of a dissection tear originating distal to the arch as identified intra-operatively. Tears in the ascending aorta denoted dissection as classic. Repairs using circulatory arrest were similar between groups, p>0.33. Preoperative, operative, and post-operative variables were analyzed retrospectively. Results: Retrograde type A aortic dissection occurred in 16.1% (52/322) of patients. RTAAD differed from CAAD in the median time from initial symptoms to operation (75+−87 hours vs. 47+−61 hours) and specific presenting conditions. (See Table 1 ) Outcomes (stroke: RTAAD, 2.1% vs. CAAD, 3.6%, bleeding: 4% vs. 9%, myocardial infarction: 6% vs. 6%, and mortality: 11% vs. 18%) did not differ significantly between the groups, p>0.05. Conclusions: RTAAD presented later for repair and less frequently with redo-sternotomy and aortic valvular insufficiency. Despite these differences, outcomes from surgical repair did not differ significantly. Acceptable outcomes may be achieved with timely intervention. Table 1: Preoperative Variables

scholarly journals A simple and useful option for treatment of acute type A dissection with the tear beyond the aortic arch

2002 ◽  
Vol 123 (5) ◽  
pp. 1001-1003 ◽  
Author(s):  
Kazuhito Imanaka ◽  
Shunei Kyo ◽  
Masaaki Kato ◽  
Hiroaki Tanabe ◽  
Hiroshi Ohuchi ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Type A ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Type A Dissection
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