Midterm results of vascular ring connector in open surgery for aortic dissection Jeng Wei, MD, MSD, Chung-Yi Chang, MD, Yi-Cheng Chuang, MD, Sung-How.

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Presentation transcript:

Midterm results of vascular ring connector in open surgery for aortic dissection Jeng Wei, MD, MSD, Chung-Yi Chang, MD, Yi-Cheng Chuang, MD, Sung-How Sue, MD, Kuo-Chen Lee, MD, Ching-Wen Wu, MD, Cheng-Hsi Chang, MD The Journal of Thoracic and Cardiovascular Surgery Volume 143, Issue 1, Pages 72-77.e3 (January 2012) DOI: 10.1016/j.jtcvs.2011.09.013 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Surgical diagram showing the technique of repair of entry tear located at ascending aorta. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 72-77.e3DOI: (10.1016/j.jtcvs.2011.09.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Surgical diagram showing the technique of repair of entry tear located at the proximal aortic arch. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 72-77.e3DOI: (10.1016/j.jtcvs.2011.09.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Surgical diagram showing the technique of repair of entry tear located at the distal aortic arch. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 72-77.e3DOI: (10.1016/j.jtcvs.2011.09.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Surgical diagram showing the technique of repair of entry tear located at the proximal descending thoracic aorta. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 72-77.e3DOI: (10.1016/j.jtcvs.2011.09.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Surgical diagram showing the technique of repair of entry tear located at the middle or lower portion of the descending thoracic aorta. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 72-77.e3DOI: (10.1016/j.jtcvs.2011.09.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Vascular ring connector (VRC) and the formation of intraluminal graft: There are 2 grooves on the outer surface of the vascular ring connector: the narrow groove is used for suture fixation between the vascular ring connector and the vascular prosthesis, and the wider groove is used for fixation between the vascular ring connector and the aorta (A). Braided tapes are used to tie around the overlapping region of the aorta and the vascular ring connector to form a suture-less anastomosis (B). The Journal of Thoracic and Cardiovascular Surgery 2012 143, 72-77.e3DOI: (10.1016/j.jtcvs.2011.09.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 The ring of the Meadox intraluminal graft (Meadox Medical, Oakland, NJ). After removal of the cover, there is no furrow on the surface of the plastic ring. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 72-77.e3DOI: (10.1016/j.jtcvs.2011.09.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions