Repair for acute type A aortic dissection with a long elephant trunk technique Hiroki Hata, MD, PhD, Koichi Toda, MD, PhD, Yasuhiro Shudo, MD, Satoshi.

Slides:

Advertisements

Similar presentations

Complicated acute type B aortic dissection involving the arch: Treatment by simultaneous hybrid approach under local anesthesia Gabriele Iannelli, MD,

Advertisements

Open Repair of Distal Aortic Arch and Proximal Descending Thoracic Aortic Aneurysm Using a Stepwise Distal Anastomosis Hitoshi Ogino, MD Operative Techniques.

Is individualized mitral valve repair in the future?

Open Repair of Distal Aortic Arch and Proximal Descending Thoracic Aortic Aneurysm Using a Stepwise Distal Anastomosis Hitoshi Ogino, MD Operative Techniques.

Percutaneous aortic valves: Effective in inoperable patients, what price in high-risk patients? Lars G. Svensson, MD, PhD The Journal of Thoracic and.

Definition of proximal anastomosis in the doors study

Minimally invasive left ventricular assist device implantation with outflow graft anastomosis to the innominate artery Jasmin S. Hanke, MD, Sebastian.

Surgery for acute aortic dissection using the Chinese CRONUS stented elephant trunk technique: Experience with 252 patients Hong-bing Wu, MD, Hao Zhang,

A study of brain protection during total arch replacement comparing antegrade cerebral perfusion versus hypothermic circulatory arrest, with or without.

Joseph S. Coselli, MD, Scott A. LeMaire, MD, Dwayne F

Simplified total arch repair with a stented graft for acute DeBakey type I dissection Enyi Shi, MD, PhD, Tianxiang Gu, MD, PhD, Yang Yu, MD, Chun Wang,

Surgical treatment for Kommerell’s diverticulum

Jennifer Chung, MD, MSc, Maral Ouzounian, MD, PhD

Repair of Stanford type A aortic dissection with ascending aorta and hemiarch replacement combined with stent-graft elephant trunk technique by using.

Right internal thoracic artery or saphenous vein grafting

Surgery for acute type A aortic dissection

Options for arterial cannulation to provide antegrade cerebral perfusion: Everything old is new again Joseph S. Coselli, MD, Ourania Preventza, MD The.

George Matalanis, MBMS, FRACS, Rhiannon S. Koirala, MBBS, William Y

Grayson H. Wheatley, MD, FACS

Multilevel data analysis: What? Why? How?

Joseph S. Coselli, MD, Peter Oberwalder, MD

Transcranial Doppler-guided selective antegrade cerebral perfusion during aortic debranching operation Ali Khoynezhad, MD, FACC, FACP, Rolando Celis,

Long-term results of the open stent-grafting technique for extended aortic arch disease Kazuo Shimamura, MD, Toru Kuratani, MD, PhD, Goro Matsumiya, MD,

Total arch repair with open triple-branched stent graft placement for acute type A aortic dissection: Experience with 122 patients Liang-Wan Chen, MD,

Roland Assi, MD, MMS, Wilson Y. Szeto, MD

An option for intraoperative placement of an intra-aortic balloon pump in patients with occlusive peripheral vascular disease Domenico Calcaterra, MD,

George Matalanis, BSc, MB, MS, FRACS, Shoane Ip, MBBS, BMedSc, FRACS

John A. Elefteriades, MD, PhD(hon), Mohammad A

The lord of the rings Antonio Miceli, MD, PhD

Long-term outcomes of total arch replacement using a 4-branched graft

Is individualized mitral valve repair in the future?

Direct innominate artery cannulation: An alternate technique for antegrade cerebral perfusion during aortic hemiarch reconstruction Arminder S. Jassar,

Surgical management after stent-graft failure during the frozen elephant trunk technique for acute type A aortic dissection Maximilian Luehr, MD, Christian.

Juan M. Aguilar, MD, Enrique Garcia, MD, PhD, Francesco G

The Journal of Thoracic and Cardiovascular Surgery

Aortic cannulation with a single purse-string suture

Direct innominate artery cannulation for selective antegrade cerebral perfusion during deep hypothermic circulatory arrest in aortic surgery Vinay Garg,

Complicated acute type B aortic dissection involving the arch: Treatment by simultaneous hybrid approach under local anesthesia Gabriele Iannelli, MD,

Extended aortic replacement for acute type a dissection with the tear in the descending aorta Terushisa Kazui, MD, Yukihiko Tamiya, MD, Toshiaki Tanaka,

Clinical outcomes and rates of aortic growth and reoperation after 1-stage repair of extensive chronic thoracic aortic dissection Nicholas T. Kouchoukos,

Aneurysm expansion caused by an intercostal type II endoleak after thoracic endovascular aortic repair for secondary elephant trunk graft fixation Atsushi.

Successful Total Arch Replacement With Long Elephant Trunk for Chronic Aortic Dissection (DeBakey IIIb) Yasuhiro Shudo, MD, Kazuhiro Taniguchi, MD, PhD,

Giant pseudoaneurysm after proximal aortic surgery treated by means of redo axillary artery cannulation and use of an Endoclamp device Francois Dagenais,

Innominate artery cannulation: The Toronto technique for antegrade cerebral perfusion in aortic arch reconstruction—a clinical trial opportunity for the.

Perfusion and repair technique in acute aortic dissection with cerebral malperfusion and damage of the innominate artery Paul P. Urbanski, MD, PhD, Matthias.

Arch Aneurysm Repair With Long Elephant Trunk: A 10-Year Experience in 111 Patients Koichi Toda, MD, Kazuhiro Taniguchi, MD, Takafumi Masai, MD, Toshiki.

Use of carotid–subclavian arterial bypass and thoracic endovascular aortic repair to minimize cerebral ischemia in total aortic arch reconstruction Steve.

Elephant Trunk Anastomosis Proximal to Origin of Innominate Artery in Total Arch Replacement Kazuhiro Taniguchi, MD, PhD, Koichi Toda, MD, PhD, Hiroki.

Frozen elephant trunk technique: Ready to get back to the future?

The thoracoabdominal saga and heroes

Patrick T. Roughneen, MD, Grant T. Fankhauser, MD, Abe DeAnda, MD

Shunt right or left? Decision 2016

Three-graft technique for ascending aorta and total aortic arch replacement Gen-ya Yaginuma, MD, Yoshiyuki Iijima, MD, Kazuo Abe, MD, Yoshiyuki Okada,

Surgical treatment of an aneurysm involving ascending aorta, aortic arch, and a rupture of a descending aortic aneurysm 26 years following acute type.

Aortic arch repair for Stanford type A aortic dissection with distal anastomosis to the proximal level of the distal aortic arch Yoshio Mori, MD, PhD,

Commentary: It's all about the distal

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

When should the elephant (frozen elephant trunk) enter the room (aorta)? Frank A. Baciewicz, MD The Journal of Thoracic and Cardiovascular Surgery Volume.

Billie-Jean Martin, MD, PhD, Michiko Maruyama, MD, Ivan M. Rebeyka, MD

Why arch curvature affects arch resistance

Toward a more rational approach in treating type B aortic dissection

Optimal graft diameter and location reduce postoperative complications after total arch replacement with long elephant trunk for arch aneurysm Haruhiko.

Stented elephant trunk procedure with left subclavian artery transposition for acute type B dissection with distal arch involvement Jun-Ming Zhu, MD,

Apples remain apples NO matter what

Use of the endoclamp device in a patient with a native mitral valve endocarditis and a previous arch replacement with a modified Griepp technique Siamak.

Shih-Rong Hsieh, MD, Chien-Chang Chen, MD, Hao-Ji Wei, MD

David Spielvogel, MD, James C

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Presentation transcript:

Repair for acute type A aortic dissection with a long elephant trunk technique Hiroki Hata, MD, PhD, Koichi Toda, MD, PhD, Yasuhiro Shudo, MD, Satoshi Kainuma, MD, Kiyoshi Yoshida, CE, Keiji Yamamoto, CE, Kazuhiro Taniguchi, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 137, Issue 3, Pages 777-778 (March 2009) DOI: 10.1016/j.jtcvs.2008.07.058 Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Antegrade selective cerebral perfusion was initiated with 8-mm grafts anastomosed to the bilateral axillary arteries and a 12F balloon catheter inserted into the left common carotid artery. The graft to the left axillary artery was previously guided into the pericardial space through a retroclavicle tunnel. A catching catheter was introduced from the femoral artery through the true lumen. A 2–0 Tevdek suture (Deknatel, Inc, Fall River, Mass) was placed onto the lesser curvature of the elephant trunk so as to fix its length and prevent stretching and covering the orifices of distal intercostal arteries. B, A long elephant trunk was pulled into the true lumen and an open distal anastomosis was performed at the base of the innominate artery. C, The arch vessels were sequentially reconstructed. The stump of the innominate artery was closed with two pledget-supported sutures and an additional continuous suture. The Journal of Thoracic and Cardiovascular Surgery 2009 137, 777-778DOI: (10.1016/j.jtcvs.2008.07.058) Copyright © 2009 The American Association for Thoracic Surgery Terms and Conditions