Endovascular treatment of acute Type A aortic dissection-the Endo Bentall approach

Journal of Visualized Surgery
Maximilian KreibichMartin Czerny

Abstract

Outcome after classical surgical repair of acute Type A aortic dissection has steadily improved over the years and several modifications in cannulation and perfusion added to this achievement. However, subgroups remain where results of classical surgical repair still have room for improvement, particularly patients with severe preoperative malperfusion as well as elderly patients with a limited physiological reserve. So far, only small case series or case reports have been published on the endovascular treatment of dissected ascending aortas. However, a tube alone is not sufficient to fix the entire complex underlying problem in the vast majority of patients with acute Type A aortic dissection. In addition, these published reports are either due to a favorable anatomy or due to very localized disease processes, which are the exception and not the rule. The concept of an endovascular valve-carrying conduit may significantly increase the number of patients suitable for endovascular therapy and it may soon be common practice.

Citations

Jun 12, 2020·General Thoracic and Cardiovascular Surgery·Atsushi OmuraJunjiro Kobayashi
May 22, 2020·Asian Cardiovascular & Thoracic Annals·Maximilian KreibichMartin Czerny
Jul 1, 2020·Journal of Cardiac Surgery·Li Jing SawAmer Harky
Nov 11, 2020·Journal of Cardiac Surgery·Yunus AhmedJoost A van Herwaarden
Jun 2, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Ashanpreet GrewalSeema P Deshpande
Dec 30, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thomas GandetTilo Kölbel

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