Ascending aorta replacement and local repair of tear site in type a aortic dissection with arch tear Kay-Hyun Park, MD, Kiick Sung, MD, Kwhanmien Kim,

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Ascending aorta replacement and local repair of tear site in type a aortic dissection with arch tear Kay-Hyun Park, MD, Kiick Sung, MD, Kwhanmien Kim, MD, Tae-Gook Jun, MD, Young Tak Lee, MD, Pyo Won Park, MD The Annals of Thoracic Surgery Volume 75, Issue 6, Pages 1785-1790 (June 2003) DOI: 10.1016/S0003-4975(03)00170-X

Fig 1 Location of intimal tear and surgical procedures in 103 patients with acute type A aortic dissection. The Annals of Thoracic Surgery 2003 75, 1785-1790DOI: (10.1016/S0003-4975(03)00170-X)

Fig 2 Techniques of local closure of an intimal tear in the aortic arch. Usually, after passing the whole layer of the aortic wall, repairing sutures could be tied from outside of the aorta (A). If the tear is located between two closely oriented branches, the sutures were tied from inside the aorta (B). In cases of an irregularly shaped tear or intimal ulcer, a small patch was used to cover the defect (C). The Annals of Thoracic Surgery 2003 75, 1785-1790DOI: (10.1016/S0003-4975(03)00170-X)

Fig 3 Summary of status of descending thoracic aorta in serial computed tomographic scans postoperatively. In patients 3, 4, 5, and 9, local repair of the arch tear failed to obliterate the false lumen. In the remaining 9 patients, thrombosis of the false lumen occurred early, ie, 3 to 4 months postoperatively, followed by absorption of the hematoma and resolution of dissection. The Annals of Thoracic Surgery 2003 75, 1785-1790DOI: (10.1016/S0003-4975(03)00170-X)