Surgery for acute type A dissection using total arch replacement combined with stented elephant trunk implantation: Experience with 107 patients

Journal of Thoracic and Cardiovascular Surgery

Volumn 138, Issue 6, 2009, Pages 1358-1362

  Sun, Li Zhong ^a   Qi, Rui Dong ^b   Chang, Qian ^a   Zhu, Jun Ming ^a   Liu, Yong Min ^a   Yu, Cun Tao ^a   Lv, Bin ^a   Zheng, Jun ^a   Tian, Liang Xin ^a   Lu, Jin Guo ^a  

^a FUWAI HOSPITAL   (China)

^b Tianjin Chest Hospital   (China)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE KIDNEY FAILURE; ACUTE TYPE A AORTIC DISSECTION; ADOLESCENT; ADULT; AGED; AORTA DISSECTION; AORTIC ARCH SURGERY; ARTICLE; ARTIFICIAL VENTILATION; ASCENDING AORTA SURGERY; BLEEDING; BRAIN INFARCTION; BRAIN PERFUSION; CARDIOPULMONARY BYPASS; COMPUTER ASSISTED TOMOGRAPHY; DESCENDING AORTA; FEMALE; FOLLOW UP; HEART TAMPONADE; HUMAN; IMPLANTATION; ISCHEMIA; LEG ISCHEMIA; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; MULTIPLE ORGAN FAILURE; OUTCOME ASSESSMENT; PARAPLEGIA; PERITONEAL DIALYSIS; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; REOPERATION; SPINAL CORD INJURY; STENT; SUBDURAL HEMATOMA; THROMBOGENESIS; WOUND DRAINAGE;

ACUTE DISEASE; ADOLESCENT; ADULT; AGED; ANEURYSM, DISSECTING; AORTA, THORACIC; AORTIC ANEURYSM; CARDIOPULMONARY BYPASS; FEMALE; FOLLOW-UP STUDIES; HUMANS; HYPOTHERMIA, INDUCED; MALE; POSTOPERATIVE COMPLICATIONS; STENTS; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 71949126356     PISSN: 00225223     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2009.04.017     Document Type: Article

References (21)

1. Trimarchi S., Nienaber C.A., Rampoldi V., Myrmel T., Suzuki T., Mehta R.H., et al. Contemporary results of surgery in acute type A aortic dissection: The International Registry of Acute Aortic Dissection experience. J Thorac Cardiovasc Surg 129 (2005) 112-122
2. Kazui T., Washiyama N., Muhammad B.A., Terada H., Yamashita K., Takinami M., et al. Extended total arch replacement for acute type a aortic dissection: experience with seventy patients. J Thorac Cardiovasc Surg 119 (2000) 558-565
3. Ohtsubo S., Itoh T., Takarabe K., Rikitake K., Furukawa K., Suda H., et al. Surgical results of hemiarch replacement for acute type A dissection. Ann Thorac Surg 74 (2002) S1853-S1856 discussion S1857-63
4. Westaby S., Saito S., and Katsumata T. Acute type A dissection: conservative methods provide consistently low mortality. Ann Thorac Surg 73 (2002) 707-713
5. Crawford E.S., Kirklin J.W., Naftel D.C., Svensson L.G., Coselli J.S., and Safi H.J. Surgery for acute dissection of ascending aorta. Should the arch be included?. J Thorac Cardiovasc Surg 104 (1992) 46-59
6. Sun L.Z., Qi R.D., Chang Q., Zhu J.M., Liu Y.M., Yu C.T., et al. Surgery for Marfan patients with acute type A dissection using a stented elephant trunk procedure. Ann Thorac Surg 86 (2008) 1821-1826
7. Liu Z.G., Sun L.Z., Chang Q., Zhu J.M., Dong C., Yu C.T., et al. Should the "elephant trunk" be skeletonized? Total arch replacement combined with stented elephant trunk implantation for Stanford type A aortic dissection. J Thorac Cardiovasc Surg 131 (2006) 107-113
8. David T.E., Armstrong S., Ivanov J., and Barnard S. Surgery for acute type A aortic dissection. Ann Thorac Surg 67 (1999) 1999-2001 discussion 2014-9
9. Sabik J.F., Lytle B.W., Blackstone E.H., McCarthy P.M., Loop F.D., and Cosgrove D.M. Long-term effectiveness of operations for ascending aortic dissections. J Thorac Cardiovasc Surg 119 (2000) 946-962
10. Heinemann M., Laas J., Jurmann M., Karck M., and Borst H.G. Surgery extended into the aortic arch in acute type A dissection. Indications, techniques, and results. Circulation 84 5 Suppl (1991) III25-III30
11. Kirklin J.W., and Kouchoukos N.T. When and how to include arch repair in patients with acute dissections involving the ascending aorta. Semin Thorac Cardiovasc Surg 5 (1993) 27-32
12. Hirotani T., Kameda T., Kumamoto T., and Shirota S. Results of a total aortic arch replacement for an acute aortic arch dissection. J Thorac Cardiovasc Surg 120 (2000) 686-691
13. Massimo C.G., Presenti L.F., Marranci P., Favi P.P., Poma A.G., Ponzalli M., et al. Extended and total aortic resection in the surgical treatment of acute type A aortic dissection: experience with 54 patients. Ann Thorac Surg 46 (1988) 420-424
14. Ando M., Nakajima N., Adachi S., Nakaya M., and Kawashima Y. Simultaneous graft replacement of the ascending aorta and total aortic arch for type A aortic dissection. Ann Thorac Surg 57 (1994) 669-676
15. Ochiai Y., Imoto Y., Sakamoto M., Ueno Y., Sano T., Baba H., et al. Long-term effectiveness of total arch replacement for type A aortic dissection. Ann Thorac Surg 80 (2005) 1297-1302
16. Mori Y., Hirose H., Takagi H., Umeda Y., Fukumoto Y., Shimabukuro K., et al. Aortic arch repair for Stanford type A aortic dissection with distal anastomosis to the proximal level of the distal aortic arch. J Thorac Cardiovasc Surg 126 (2003) 415-419
17. Ando M., Takamoto S., Okita Y., Morota T., Matsukawa R., and Kitamura S. Elephant trunk procedure for surgical treatment of aortic dissection. Ann Thorac Surg 66 (1998) 82-87
18. Crawford E.S., Coselli J.S., Svensson L.G., Safi H.J., and Hess K.R. Diffuse aneurysmal disease (chronic aortic dissection, Marfan, and mega aorta syndromes) and multiple aneurysm. Treatment by subtotal and total aortic replacement emphasizing the elephant trunk operation. Ann Surg 211 (1990) 521-537
19. Fann J.I., Sarris G.E., Mitchell R.S., Shumway N.E., Stinson E.B., Oyer P.E., et al. Treatment of patients with aortic dissection presenting with peripheral vascular complications. Ann Surg 212 (1990) 705-713
20. Flores J., Kunihara T., Shiiya N., Yoshimoto K., Matsuzaki K., and Yasuda K. Extensive deployment of the stented elephant trunk is associated with an increased risk of spinal cord injury. J Thorac Cardiovasc Surg 131 (2006) 336-342
21. Kawanishi Y., Okada K., Nakagiri K., Kitagawa A., Tanaka H., Matsumori M., et al. Three cases of newly developed paraplegia after repairing type A acute aortic dissection. Ann Thorac Surg 84 (2007) 1738-1740