Repair of Acute Type A Aortic Dissection With Ascending Aorta Replacement Combined With Open Fenestrated Stent Graft Placement

Wu, Xi-Jie; Dai, Xiao-Fu; Liao, Dong-Shan; Hu, Yunnan; Zhang, Hui; Yan, Dong; Wang, Qi-Min

doi:10.1016/j.athoracsur.2015.07.060

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…In addition, they found that this new technique could not be applied in most patients because the diameters of the native arch vessels and distances between the 2 neighboring arch vessels did not always match the available sizes of the triple-branched stent grafts. They also modified the stent graft to several new generations for a good match with different diameters of the arch and branch vessels and achieved good clinical results [34–37] (Fig. 6).…”

Section: Discussionmentioning

confidence: 99%

“…Given the many advantages, their technology may have good prospects. From their new report, [37] they obtained encouraging short-term results (a nearly 97.6% operation success rate, relatively short operation time, and very few complications). However, it is important to preoperatively evaluate the anatomic lesions of aortic arch and branch vessels, which was the other main purpose of our study.…”

Section: Discussionmentioning

confidence: 99%

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Preoperative evaluation value of aortic arch lesions by multidetector computed tomography angiography in type A aortic dissection

et al. 2016

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The purpose of this study was to preoperatively evaluate the value of aortic arch lesions by multidetector computed tomography (MDCT) angiography in type A aortic dissection (AD).From January 2013 to December 2015, we enrolled 42 patients with type A AD who underwent MDCT angiography in our hospital. The institutional database of patients was retrospectively reviewed to identify MDCT angiography examinations for type A AD. Surgical corrections were conducted in all patients to confirm diagnostic accuracy.In this study, the diagnostic accuracy of MDCT angiography was 100% in all 42 patients. The intimal tear site locations that were identified in patients included the ascending aorta (n = 25), aortic arch (n = 12), and all other sites (n = 5). Compared with the control group, there were significant differences in the aortic arch anatomy among the cases. Regarding the distance between the left common carotid and left subclavian arteries, compared with the control group, most cases with type A AD had a significant variation.MDCT angiography plays an important role in detecting aortic arch lesions of type A AD, especially in determining the location of the intimal entry site and change of branch blood vessels. Surgeons can formulate an appropriate operating plan, according to the preoperative MDCT diagnosis information.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%