Bio-Bentall and hybrid arch frozen elephant trunk repair for acute type A aortic dissection with malperfusion.

Q4 Medicine

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2023-12-07 DOI:10.1510/mmcts.2023.092

Djalal Fakim, Chaoyi Qin, Michael W A Chu

引用次数: 0

Abstract

The extent of repair in patients with acute type A aortic dissection is often determined by factors such as entry tear location, aortic anatomy, malperfusion and team expertise. The hybrid arch frozen elephant trunk, which has become an established technique to extend the distal acute type A aortic dissection repair, is particularly useful in malperfusion; however, it remains technically challenging and is associated with increased duration of circulatory arrest and risks of spinal cord ischaemia. Proximal dissection flap extension often determines repairability versus replacement of the aortic root. We present a case report highlighting the proximal and distal extent of repair in a patient with a known ascending aortic aneurysm presenting with an acute type A aortic dissection, with malperfusion, undergoing a successful bio-Bentall procedure and hybrid arch frozen elephant trunk repair.

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Bio-Bentall 和混合拱形冰冻象鼻修复术治疗急性 A 型主动脉夹层伴灌注不良。

急性 A 型主动脉夹层患者的修复范围通常由入口撕裂位置、主动脉解剖、灌注不良和团队专业知识等因素决定。混合拱形冰冻象鼻躯干已成为扩展急性A型主动脉夹层远端修复的成熟技术，在灌注不良的情况下尤其有用；然而，它在技术上仍具有挑战性，并与循环停止时间延长和脊髓缺血风险相关。主动脉夹层皮瓣近端延伸通常决定了修复与更换主动脉根部的可修复性。我们提交了一份病例报告，重点介绍了一名已知有升主动脉瘤的患者的近端和远端修复范围，该患者出现急性 A 型主动脉夹层，伴有灌注不良，成功接受了生物本托尔手术和混合拱形冰冻象鼻躯干修复术。

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

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.