Application of Open Triple-Branched Aortic Arch Stent Graft for Acute Stanford Type A Aortic Dissection. (February 2013)

• Record Type: Journal Article
• Authors: Hua, Fei; Shen, Zhenya; Yu, Yunsheng; Ye, Wenxue; Huang, Haoyue
• Is Part Of: Vascular & endovascular surgery. Volume 47:Number 2(2013)
• Page Start: 109
• Page End: 114
• Publication Date: 2013-02
• Subjects: aneurysm -- aortic dissection -- vascular surgery -- stent graft -- Stanford type A; Blood-vessels -- Surgery -- Periodicals; Blood-vessels -- Endoscopic surgery -- Periodicals; Vascular Surgical Procedures -- Periodicals; Angioplasty -- Periodicals; Surgical Procedures, Minimally Invasive -- Periodicals; Vascular Diseases -- surgery -- Periodicals; Vaisseaux sanguins -- Chirurgie -- Périodiques; Vaisseaux sanguins -- Chirurgie endoscopique -- Périodiques; 617.41
• DOI: 10.1177/1538574412473184
• Languages: English
• ISSNs: 1538-5744

Abstract

Objective: Complete documentation is provided outlining a process for surgical treatment of the ascending aorta using open triple-branched aortic arch stent grafts to treat acute Stanford type A aortic dissection based on clinical observations. Methods: A total of 34 patients underwent replacement of the ascending aorta or aortic root in combination with open placement of a triple-branched stent graft. Results: Mean cardiopulmonary bypass, mean myocardial ischemic, and selective cerebral perfusion times were 186 ± 38, 101 ± 27, and 39 ± 11 minutes, respectively. Two deaths occurred during hospitalization. Of the remaining patients, postoperative computed tomography angiography confirmed that all implanted stent grafts were fully opened; however, the dissected aorta and false lumen size showed evidence of reduced thickness. Conclusions: This applies mainly to those who need extensive surgical reconstruction of the thoracic aorta with acute Stanford type A aortic dissection, and it can reduce cardiopulmonary bypass complexities of the traditional surgeries and potential complication.