Debranch-First Technique with Zone 0 Elephant Trunk for Redo Operation of Residual Type B Aortic Dissection: The Completion of Aortic Proximalization.

Q4 Medicine
Journal of Chest Surgery Pub Date : 2024-01-05 Epub Date: 2023-11-23 DOI:10.5090/jcs.23.084
Yoshito Inoue
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引用次数: 0

Abstract

This article presents a straightforward hybrid arch technique for treating residual type B aortic dissecting aneurysms following type A repair (replacement of the ascending aorta) that employs a frozen elephant trunk (FET) straight vascular prosthesis. The debranch-first method involves only cutting and sewing the previous ascending graft, inserting the FET from zone 0, and debranching the arch vessels using a trifurcated graft. This technique is less invasive as it eliminates the need to manipulate the dissected distal arch aneurysm. We successfully applied this technique to 3 patients, with no instances of in-hospital death, stroke, or paraplegia. The debranch-first technique, combined with zone-0 FET insertion, simplifies the redo repair of residual type B aortic dissection.

0区象鼻先去分支技术用于残余B型主动脉夹层重做手术:完成主动脉近端化。
本文介绍了一种直接的混合弓技术,用于治疗a型修复(升主动脉置换)后残留的B型主动脉夹层动脉瘤,采用冷冻象鼻(FET)直血管假体。先去分支的方法只需要切割和缝合先前的上升移植物,从0区插入场效应晶体管,然后使用三分叉移植物去分支弓血管。该技术的侵入性较小,因为它不需要操作已剥离的远端动脉瘤弓。我们成功地将该技术应用于3例患者,没有院内死亡、中风或截瘫的病例。debranch-first技术结合0区FET插入,简化了残余B型主动脉夹层的重做修复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Chest Surgery
Journal of Chest Surgery Medicine-Surgery
CiteScore
0.80
自引率
0.00%
发文量
76
审稿时长
7 weeks
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