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

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Presentation transcript:

Extended aortic replacement for acute type a dissection with the tear in the descending aorta Terushisa Kazui, MD, Yukihiko Tamiya, MD, Toshiaki Tanaka, MD, Sakuzo Komatsu, MD The Journal of Thoracic and Cardiovascular Surgery Volume 112, Issue 4, Pages 973-978 (October 1996) DOI: 10.1016/S0022-5223(96)70097-1 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A scheme of the surgical technique of total replacement of the ascending aorta and aortic arch using a graft provided with branches for acute type A dissection with the tear in the descending thoracic aorta. See the text for details. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A scheme of the surgical technique of total replacement of the ascending aorta and aortic arch using a graft provided with branches for acute type A dissection with the tear in the descending thoracic aorta. See the text for details. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A scheme of the surgical technique of total replacement of the ascending aorta and aortic arch using a graft provided with branches for acute type A dissection with the tear in the descending thoracic aorta. See the text for details. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A scheme of the surgical technique of total replacement of the ascending aorta and aortic arch using a graft provided with branches for acute type A dissection with the tear in the descending thoracic aorta. See the text for details. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A scheme of the surgical technique of total replacement of the ascending aorta and aortic arch using a graft provided with branches for acute type A dissection with the tear in the descending thoracic aorta. See the text for details. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A scheme of the surgical technique of total replacement of the ascending aorta and aortic arch using a graft provided with branches for acute type A dissection with the tear in the descending thoracic aorta. See the text for details. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A scheme of the surgical technique of total replacement of the ascending aorta and aortic arch using a graft provided with branches for acute type A dissection with the tear in the descending thoracic aorta. See the text for details. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 A scheme of the surgical technique of total replacement of the ascending aorta and aortic arch using a graft provided with branches for acute type A dissection with the tear in the descending thoracic aorta. See the text for details. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 A preoperative digital subtraction angiographic image in acute type A dissection with the tear in the descending thoracic aorta. The primary intimal tear is located near the left subclavian artery, and the dissection extends retrogradely to the ascending aorta. This patient had acute aortic regurgitation and extension of the dissection to the innominate artery. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 A postoperative digital subtraction angiographic image in the same patient. The ascending aorta, aortic arch, and arch vessels were reconstructed satisfactorily. The aortic regurgitation has disappeared, and the false lumen of the descending thoracic aorta is occluded. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 973-978DOI: (10.1016/S0022-5223(96)70097-1) Copyright © 1996 Mosby, Inc. Terms and Conditions