Hybrid repair of type A acute aortic dissections with the Lupiae technique: Ten-year results Giampiero Esposito, MD, Giangiuseppe Cappabianca, MD, Samuele.

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Presentation transcript:

Hybrid repair of type A acute aortic dissections with the Lupiae technique: Ten-year results Giampiero Esposito, MD, Giangiuseppe Cappabianca, MD, Samuele Bichi, MD, Antonio Cricco, MD, Giovanni Albano, MD, Angelo Anzuini, MD The Journal of Thoracic and Cardiovascular Surgery Volume 149, Issue 2, Pages S99-S104 (February 2015) DOI: 10.1016/j.jtcvs.2014.07.099 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Schematic representation of the Lupiae technique. A, Native aorta with TAAAD. B, The ascending aorta and the aortic arch are replaced. The neck vessels are rerouted on the proximal ascending aorta creating a landing zone for TEVAR. C, The residual intimal tear in the descending aorta is excluded deploying 1 or multiple stents landing proximally on the Lupiae graft. The Journal of Thoracic and Cardiovascular Surgery 2015 149, S99-S104DOI: (10.1016/j.jtcvs.2014.07.099) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Postoperative management of the residual false lumen in patients undergoing TAAAD repair with the Lupiae technique. CT, Computed tomography; ECG, electrocardiogram; TEVAR, thoracic endovascular aortic repair. The Journal of Thoracic and Cardiovascular Surgery 2015 149, S99-S104DOI: (10.1016/j.jtcvs.2014.07.099) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Ten-year survival of the entire cohort (80 patients); 64 patients underwent TAAAD repair + TEVAR, and 16 patients underwent TAAAD repair only. The Journal of Thoracic and Cardiovascular Surgery 2015 149, S99-S104DOI: (10.1016/j.jtcvs.2014.07.099) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions