Total aortic arch reconstruction with open placement of triple-branched stent graft for acute type A dissection Liang-Wan Chen, MD, Xiao-Fu Dai, MD,

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Presentation transcript:

Total aortic arch reconstruction with open placement of triple-branched stent graft for acute type A dissection Liang-Wan Chen, MD, Xiao-Fu Dai, MD, Gui-Can Zhang, MD, Lin Lu, MD The Journal of Thoracic and Cardiovascular Surgery Volume 139, Issue 6, Pages 1654-1655.e1 (June 2010) DOI: 10.1016/j.jtcvs.2009.10.022 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The triple-branched stent graft comprised a main graft and three sidearm grafts. It consisted of a self-expandable nitinol stent and polyester vascular graft fabric. The main graft was flexible enough to conform to the curved aortic arch, and at its proximal end, there was a 10-mm long stent-free Dacron tube (A). The main graft and three sidearm grafts were individually mounted on four catheters and restrained by four silk strings (B). The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1654-1655.e1DOI: (10.1016/j.jtcvs.2009.10.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Postoperative computed tomographic scans showed that the stent graft was fully opened and not kinked, and there was no space or blood flow surrounding the triple-branched stent graft. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1654-1655.e1DOI: (10.1016/j.jtcvs.2009.10.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

The size of the triple-branched stent graft The size of the triple-branched stent graft. A, The diameter at the proximal end of the main graft, 30mm; B, the diameter at the distal end of the main graft, 26mm; C, the length of the main graft, 145mm; E, the length of the stent-free Dacron tube, 10mm; D1, the diameter of the first side arm graft, 16mm; D2, the diameter of the second side arm graft, 14mm; D3, the diameter of the third side arm graft, 14mm; L1, the length of the first sidearm graft, 35mm; L2, the length of the second sidearm graft, 25mm; L3, the length of the third sidearm graft, 25mm; F1, the distance between first and second sidearm grafts, 3mm; F2, the distance between second and third sidearm grafts, 3mm. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1654-1655.e1DOI: (10.1016/j.jtcvs.2009.10.022) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions