Replacement of entire aorta from aortic valve to bifurcation during one operation

Svensson, Lars G.; Shahian, David M.; Davis, Fred G.; Entrup, Michael H.; Kimmel, Wendy A.; McGrath, Donna M.; Jewel, Edward R.; Gray, Anthony W.

doi:10.1016/0003-4975(94)90480-4

Cited by 33 publications

(12 citation statements)

References 8 publications

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“…When patients are carefully selected based on the evaluation of preoperative comorbidity, a single stage operation can be expected to be highly effective in terms of long-term survival and quality of life. Svensson et al [9], Massimo et al [10] and Hu et al [11] had reported the superior outcome of one-stage surgery for extended thoracic aortic aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Extended replacement of aortic arch aneurysms through left posterolateral thoracotomy

Okada

Tanaka

Munakata

et al. 2009

European Journal of Cardio-Thoracic Surgery

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Objective: To present our experience of total aortic arch replacement through a left posterolateral thoracotomy. Methods: Sixteen patients (13 males; mean age 62.1 AE 11.3 years) with extended thoracic aortic aneurysms, including those in the thoracoabdominal aorta, underwent replacement through a left posterolateral thoracotomy. The pathology of the diseased aorta was non-dissecting aneurysm due to aortitis in 1 patient and aortic dissection in 15 patients (acute type A: 1, chronic type A: 12, chronic type B: 2). In a prior operation, the patient with aortitis had undergone the Bentall procedure with endovascular stenting of the brachiocephalic artery, and among the other 15 patients, one previously had endovascular stenting for the aortic arch and 12 had hemi-arch replacement for acute type A dissection. Extension of arch replacement was the aortic arch and descending aorta in eight patients, the ascending arch and descending aorta in five patients and the descending arch, and thoracoabdominal aorta in three patients. Additional retroperitoneal dissection was required for the repair of a thoracoabdominal aortic aneurysm. Results: One patient died of traumatic cerebral hemorrhage on day 145 (hospital mortality 6.3%). Average duration of ventilation support was 19.4 AE 17.0 h and length of ICU stay was 3.6 AE 1.6 days. Actuarial survival at 2 years after the operations was 67.7%. However, no aortic-related mortality was observed during follow-up. Conclusions: Early results of extended aortic arch replacement through a left posterolateral thoracotomy were satisfactory in selected patients. #

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Section: Discussionmentioning

confidence: 99%

Extended replacement of aortic arch aneurysms through left posterolateral thoracotomy

Okada

Tanaka

Munakata

et al. 2009

European Journal of Cardio-Thoracic Surgery

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“…Ascending aorta, arch and descending thoracic aorta replacement, carried out in a single stage, requires multiple incisions, longer extracorporeal circulation times, prolonged procedures, and is associated with more blood loss. [1][2][3] When the operation was carried out in 2 steps, there was a high risk of bleeding from distal anastomosis during the second step. 4 To reduce these complications, Borst and colleagues 5 introduced the elephant trunk (ET) technique in 1983, which leaves a free-floating segment of graft in the descending aorta to aid the second-stage graft-to-graft anastomosis.…”

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confidence: 99%

The classic elephant trunk technique for staged thoracic and thoracoabdominal aortic repair: Long-term results

Castrovinci

Murana

Maat

et al. 2015

The Journal of Thoracic and Cardiovascular Surgery

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“…оспаривают первенство Massimo, сообщая о том, что им не было выполнено по-настоящему тотального протезирования аорты, а вмешательство ограничивалось несколькими отделами. томии и торакоабдоминального доступа [87]. При этом 68-летнему пациенту была заменена вся аорта от сино-тубулярного соединения до бифуркации.…”

Section: история хирургии протяженных поражений аортыunclassified

History of reconstructive surgery of aorta and aortic valve

Комаров¹,

Каравайкин²,

Мурылёв³

2017

PKiK

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Surgery of the aorta remains the most difficult and most dynamic part of cardiovascular surgery. Aortic aneurysm surgery had passed through several stages: from non-reconstructive, when the improvised tools were used to decrease the risk of aorta-related complications, to endovascular one. Aortic valve surgery being the essential part of aortic surgery developed dramatically as well. However, open procedures still remain the gold standard for aortic surgery. Visceral protection methods and devices develop.The review follows main achievements for reconstructive surgery of aortic diseases and aortic valve lesions. It elucidates only vital and successful procedures performed by outstanding specialists for the first time. Moreover, the contribution of Soviet and Russian surgeons is shown.Received 11 July 2017. Accepted 21 July 2017.Funding: The study did not have sponsorship. Conflict of interest: The authors declare no conflict of interests.

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Replacement of entire aorta from aortic valve to bifurcation during one operation

Cited by 33 publications

References 8 publications

Extended replacement of aortic arch aneurysms through left posterolateral thoracotomy

Extended replacement of aortic arch aneurysms through left posterolateral thoracotomy

The classic elephant trunk technique for staged thoracic and thoracoabdominal aortic repair: Long-term results

History of reconstructive surgery of aorta and aortic valve

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