Aortic arch replacement in acute aortic dissection

2002 ◽  
Vol 123 (3) ◽  
pp. 0586-0587
Author(s):  
M[uuml ]nacettin Ceviz ◽  
Yahya [Uuml ]nl[uuml ] ◽  
Necip Bect
2017 ◽  
pp. 1213-1213
Author(s):  
Szymon M. Kocańda ◽  
Jakub Zieliński ◽  
Edyta Kaczmarska-Dyrda ◽  
Ilona Michałowska ◽  
Mariusz Kuśmierczyk

2015 ◽  
Vol 8 (6) ◽  
pp. 87
Author(s):  
K. O. Barbukhatti ◽  
S. Yu. Boldyrev ◽  
G. I. Kim ◽  
O. N. Ponkina ◽  
S. S. Babeshko ◽  
...  

2002 ◽  
Vol 10 (4) ◽  
pp. 374-375 ◽  
Author(s):  
Shinji Miyamoto ◽  
Tetsuo Hadama ◽  
Hirofumi Anai ◽  
Hidenori Sako ◽  
Tomoyuki Wada ◽  
...  

We refined the elephant trunk graft to facilitate and reinforce the distal anastomosis in aortic replacement operations. A cuff is created in a single four-branch graft, which is used for the distal anastomosis; the trunk below the cuff is inserted into the distal aortic stump. This method is feasible for repairing extensive aortic aneurysm with a fragile wall and for treating acute aortic dissection where thromboocclusion of the remaining false lumen is desired.


2016 ◽  
Vol 9 (4) ◽  
pp. 73
Author(s):  
K. O. Barbukhatti ◽  
S. Yu. Boldyrev ◽  
G. I. Kim ◽  
O. N. Ponkina ◽  
S. S. Babeshko ◽  
...  

2020 ◽  

Background: There are no guidelines for the optimal timing of surgery (emergency vs. delayed) for ascending aortic dissection with acute ischemic stroke. We retrospectively compared the prognoses and radiological and clinical findings for concomitant aortic dissection and ischemic stroke in a series of case reports. Case presentation: Three patients presented with left hemiparesis. Patient 1 underwent surgery for acute aortic dissection without treatment for acute ischemic stroke. In Patient 2, emergency stenting could not be performed due to cardiac tamponade and hypotension. Therefore, emergency acute aortic dissection surgery was performed. Patient 3 underwent emergency right common carotid artery stenting followed by surgery for acute aortic dissection. Brain perfusion computed tomography angiography (CTA) was performed to diagnose severe stenosis of the right common carotid artery or occlusion concomitant with acute aortic dissection involving the aortic arch with a cerebral perfusion mismatch in all the patients. Patient 3 had postoperative local cerebral infarction, whereas patients 1 and 2 (without stent insertion) had extensive postoperative cerebral infarction. Conclusion: Patient 3 showed a better prognosis than patients without stent treatment. We suggest that perfusion CTA of the aortic arch in suspected acute ischemic stroke can facilitate early diagnosis and prompt treatment in similar patients.


Author(s):  
Giorgia Cibin ◽  
Augusto D’Onofrio ◽  
Michele Antonello ◽  
Piero Battocchio ◽  
Gino Gerosa

A patient with a history of surgery for type A acute aortic dissection was readmitted for aortic arch and descending aortic dissection with rupture at the isthmus and periaortic hematoma. Due to the high surgical risk, the aortic team chose an endovascular approach, and the patient successfully underwent emergency total arch exclusion with an off-the-shelf, bimodular, single-branch device. The main module was deployed in the aortic arch and in the brachiocephalic trunk, and the second module was deployed in the ascending aorta. Despite the good perioperative outcome with no cerebrovascular events, the patient died 20 days later because of sudden iliac rupture.


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