Back to Search
Start Over
An Alternative Approach to Diffuse Thoracic Aortomegaly: On-Pump Hybrid Total Arch Repair Without Circulatory Arrest
- Source :
- The Annals of Thoracic Surgery. 93:326-328
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
-
Abstract
- Diffuse thoracic aortomegaly has conventionally been managed with a two-stage elephant trunk procedure, requiring prolonged circulatory arrest, with an inherent risk of major morbidity and mortality. Recently, to improve outcomes, several hybrid arch procedures have been proposed using off-pump techniques. We have adopted an alternative, single-stage hybrid strategy using cardiopulmonary bypass without circulatory arrest to replace the ascending aorta and perform arch debranching and antegrade endovascular stent graft deployment. Unlike off-pump procedures, pathology of the aortic valve, root, and ascending aorta is addressed while avoiding the complications of stent graft placement in the native ascending aorta.
- Subjects :
- Pulmonary and Respiratory Medicine
Aortic valve
medicine.medical_specialty
Elephant trunks
Vascular Malformations
medicine.medical_treatment
Aorta, Thoracic
law.invention
Blood Vessel Prosthesis Implantation
Hypothermia, Induced
law
Internal medicine
medicine.artery
Ascending aorta
medicine
Cardiopulmonary bypass
Humans
Arch
Cardiopulmonary Bypass
business.industry
Contraindications
Stent
Surgery
medicine.anatomical_structure
Circulatory system
Heart Arrest, Induced
cardiovascular system
Cardiology
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 00034975
- Volume :
- 93
- Database :
- OpenAIRE
- Journal :
- The Annals of Thoracic Surgery
- Accession number :
- edsair.doi.dedup.....982ef19d141b98dfa555e7fbbc52c130