Early and mid-term outcome of frozen elephant trunk using spinal cord protective perfusion strategy for acute type A aortic dissection.

General Thoracic and Cardiovascular Surgery
Yu HohriTakeshi Hiramatsu

Abstract

This study aimed to evaluate the prevalence of spinal cord injury in total arch replacement with frozen elephant trunk for acute type A aortic dissection using our spinal cord protection technique. Between January 2013 and December 2017, 33 patients underwent total arch replacement with frozen elephant trunk for acute type A aortic dissection (mean age 67.9 ± 13.3 years). Our spinal cord protection technique involved maintaining extracorporeal circulation through the left subclavian artery in all procedures, using aortic occlusion balloon during distal anastomosis, and inserting frozen elephant trunk above Th 8 with transesophageal echocardiographic guidance. Computed tomography was performed within 1-2 weeks, 12 months, and 36 months postoperatively. We compared the degree of thrombosis of the descending aorta between preoperation and early postoperative period by Fisher's exact test. Moreover, we evaluated postoperative mortality and mobility (including spinal cord injury) at follow-up. The operative mortality within 30 days was 6.1%. Neither paraplegia nor paraparesis was noted. We observed significant thrombosis of the false lumen at the distal arch and aortic valve level of the descending aorta in postoperative early term ...Continue Reading

References

Nov 21, 2002·The Annals of Thoracic Surgery·Satoshi OhtsuboYukio Okazaki
Jan 26, 2006·The Journal of Thoracic and Cardiovascular Surgery·Jorge FloresKeishu Yasuda
Nov 26, 2008·The Journal of Thoracic and Cardiovascular Surgery·Naoyuki KimuraHideo Adachi
Mar 29, 2011·The Annals of Thoracic Surgery·LiZhong SunJun Zheng
Dec 31, 2011·The Annals of Thoracic Surgery·Giovanni ConcistrèFrancesco Musumeci
Apr 18, 2012·The Journal of Thoracic and Cardiovascular Surgery·Andras HoffmanRüdiger Autschbach
May 8, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Akira KatayamaTaijiro Sueda
Jun 20, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Keijiro KatayamaTaijiro Sueda
Jun 25, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Marco Di Eusanio
Jun 27, 2014·The Journal of Spinal Cord Medicine·Anthony F DiMarco, Neal V Dawson
Oct 17, 2017·General Thoracic and Cardiovascular Surgery·Suyog A Mokashi, Lars G Svensson
Jan 24, 2018·Interactive Cardiovascular and Thoracic Surgery·Boris N KozlovVladimir M Shipulin
Mar 17, 2019·General Thoracic and Cardiovascular Surgery·UNKNOWN Committee for Scientific Affairs, The Japanese Association for Thoracic SurgeryYutaka Okita
Aug 31, 2019·General Thoracic and Cardiovascular Surgery·Daijiro HoriAtsushi Yamaguchi

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Methods Mentioned

BETA
dissection
dissections

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JMP

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