Staged total aortic hybrid repair for DeBakey type I dissection: Report of a case Marco Di Eusanio, MD, PhD, Paolo Berretta, MD, Luigi Lovato, MD, Roberto.

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Presentation transcript:

Staged total aortic hybrid repair for DeBakey type I dissection: Report of a case Marco Di Eusanio, MD, PhD, Paolo Berretta, MD, Luigi Lovato, MD, Roberto Di Bartolomeo, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 4, Pages e43-e46 (April 2014) DOI: 10.1016/j.jtcvs.2013.12.005 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Multidetector computed tomographic axial (A, D, G, and J), longitudinal (B, E, H, and K), and 3-dimensional (C, F, I, and L) images. A-C, Onset of DeBakey type I aortic dissection. D-F, Residual chronic postdissection aneurysm of the aortic arch and thoracoabdominal aorta (70 mm), with narrow and circumferentially dissected false lumen at the descending thoracic aorta, 7 years after Bentall procedure. G-I, Predischarge computed tomographic scan after complete arch replacement with fenestration of the descending intimal flap and elephant trunk construction. The white arrows indicate the free-floating segment of the elephant trunk. J-L, Predischarge computed tomographic scan after open replacement of two thirds of the descending aorta. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e43-e46DOI: (10.1016/j.jtcvs.2013.12.005) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Multidetector computed tomographic longitudinal (A and E), 3-dimensional (B, C, and F), and axial (D, G, and H) images. A-D, Computed tomographic scan after replacement of the infrarenal abdominal aorta and debranching of visceral vessels. E-H, Final computed tomographic scan after the 5-stage hybrid aortic repair. The entire native aorta, from root to iliac bifurcations, has been replaced. The Journal of Thoracic and Cardiovascular Surgery 2014 147, e43-e46DOI: (10.1016/j.jtcvs.2013.12.005) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions