Stented elephant trunk procedure with left subclavian artery transposition for acute type B dissection with distal arch involvement

The Journal of Thoracic and Cardiovascular Surgery
Jun-ming ZhuLi-zhong Sun

Abstract

Complete or partial supra-aortic debranching, after thoracic endovascular aortic repair, is appealing treatment for complicated acute type B dissection (ABAD) with aortic arch involvement (AAI) because of reduced surgical trauma. However, unsatisfactory outcomes have been reported. We retrospectively reviewed our experience of left subclavian artery (LSCA) transposition with stented elephant trunk (SET) implantation for complicated ABAD with distal AAI. From April 2011 to December 2014, 19 patients (all men; mean age: 44 years) who had complicated ABAD and distal AAI underwent LSCA transposition with SET implantation via a median sternotomy under hypothermic cardiopulmonary bypass with selective cerebral perfusion. Preoperative renal dysfunction was observed in 3 patients, visceral ischemia in 2 patients, and lower-limb ischemia in 1 patient. No in-hospital deaths occurred. Seventeen patients required mechanical ventilation for <24 hours, and 2 cases for <48 hours. The mean time of mechanical ventilation and duration of stay in the intensive care unit was 18 ± 6 hours and 44 ± 16 hours, respectively. Ischemia of the viscera and lower limbs after surgery was ameliorated. Continuous renal replacement therapy was not required in 3...Continue Reading

References

Mar 6, 2002·Journal of Vascular Surgery·Claudio S CinàCatherine M Clase
Apr 25, 2006·The Annals of Thoracic Surgery·Scott A LeMaireJoseph S Coselli
Jul 8, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Maximilian A PichlmaierAxel Haverich
Jul 1, 2009·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Dittmar BöcklerPhilipp Geisbüsch
Apr 22, 2009·The Annals of Thoracic Surgery·Claudia Maria Rodrigues AlvesEnio Buffolo
Jan 5, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J SteuerA Wanhainen
Jan 11, 2011·Journal of Vascular Surgery·Philipp GeisbüschDittmar Böckler
Jul 27, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Q LuZ Mei
Sep 14, 2012·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Naomichi UchidaTaijiro Sueda
Feb 12, 2013·Journal of Vascular Surgery·Frédéric CochennecJean-Pierre Becquemin
Feb 23, 2013·JACC. Cardiovascular Interventions·Yong-Lin QinGao-Jun Teng
Jul 25, 2013·Journal of Vascular Surgery·Carsten M BüngerChristoph A Nienaber
Nov 28, 2013·Journal of Vascular Surgery·Murat UgurAlberto Pochettino
Mar 7, 2014·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gabriel WeissMartin Grabenwoger
Apr 2, 2014·Journal of Cardiac Surgery·Zhang KefengSun Lizhong
Dec 3, 2014·Journal of Vascular Surgery·Benjamin O PattersonMatt M Thompson

❮ Previous
Next ❯

Citations

Sep 15, 2015·The Journal of Thoracic and Cardiovascular Surgery·Ourania Preventza, Joseph S Coselli
Apr 23, 2020·Minerva cardioangiologica·Cristiano SpadaccioMario F Gaudino

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.