Non-circulatory arrest aortic arch replacement.
Multimed Man Cardiothorac Surg
; 20242024 Aug 21.
Article
in En
| MEDLINE
| ID: mdl-39219482
ABSTRACT
The definitive management of combined aortic arch and descending aortic pathologies such as aneurysms and dissections is either a single or staged operation associated with high morbidity and mortality. Stroke, kidney dysfunction, coagulopathy and high blood transfusion requirements are all affiliated with hypothermic circulatory arrest and prolonged cardiopulmonary bypass times. Considering the perilous nature of these operations, the authors describe a step-by-step zone 2 arch replacement as a staged frozen elephant trunk procedure, which provides an adequate landing zone for a later-placed endovascular stent yet maintains a short cardiopulmonary bypass time and no circulatory arrest.
Key words
Aneurysm repair; Aorta; Aortic aneurysm; Aortic arch; Aortic arch branched graft; Aortic arch repair; Aortic arch replacement; Aortic dissection; Aortic surgery; Cannulation techniques; Cerebral protection; Descending aorta; Endovascular aortic repair; Frozen elephant trunk technique; Hypothermia; Thoracic aortic aneurysm; Thoracic endovascular aneurysm repair
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Aorta, Thoracic
/
Aortic Aneurysm, Thoracic
/
Blood Vessel Prosthesis Implantation
/
Aortic Dissection
Limits:
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Multimed Man Cardiothorac Surg
Year:
2024
Document type:
Article
Affiliation country:
United States
Country of publication:
United kingdom