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Type A Aortic Dissection Repair: How I Teach It

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Presentation on theme: "Type A Aortic Dissection Repair: How I Teach It"— Presentation transcript:

1 Type A Aortic Dissection Repair: How I Teach It
Robbin G. Cohen, MD, MMM, Amy E. Hackmann, MD, Fernando Fleischman, MD, Craig J. Baker, MD, Mark J. Cunningham, MD, Vaughn A. Starnes, MD, Michael E. Bowdish, MD  The Annals of Thoracic Surgery  Volume 103, Issue 1, Pages (January 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) Correct angles and (B) incorrect angles between the needle and aortic wall to maximize strength and prevent tearing of the aortic intima and adventitia during anastomotic construction. (Image courtesy of Mesa Schumacher.) The Annals of Thoracic Surgery  , 14-17DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Proximal aortic reconstruction. A 1-cm wide strip of Teflon felt is secured in the false lumen with a running 4-0 polypropylene suture. The Annals of Thoracic Surgery  , 14-17DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Proximal aortic reconstruction. A Dacron graft sized to the outer diameter of the proximal aorta is anastomosed using 3-0 polypropylene suture and an outside strip of Teflon felt. Proper alignment is ensured by starting the anastomosis at one black line on the graft aligned with the right/left commissure, and during construction of the posterior suture line, by striving to have the second black line align with the midpoint of the noncoronary cusp. The Annals of Thoracic Surgery  , 14-17DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Completed aortic reconstruction.
The Annals of Thoracic Surgery  , 14-17DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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