Surgery for retrograde dissection and endoleak repair following endovascular repair of type B aortic dissection

Autor: Elena Martínez, Jose Hernández Campo, Eduard Quintana, Alejandro Fernández-Cisneros
Rok vydání: 2019
Předmět:
Zdroj: The Multimedia Manual for Cardio-Thoracic Surgery.
Popis: This video tutorial presents a case of repair of a delayed-onset retrograde type A dissection after TEVAR with a left carotid-subclavian bypass for acute type B dissection. One of our key challenges was problematic brain and spinal cord protection in a frail patient with distal dissection, and dissection involving an ectasic brachiocephalic trunk extending into the right carotid artery with a significantly increased risk of stroke and paraplegia. We demonstrate the repair of the dissection using the frozen elephant trunk technique and we also present sequential brain and visceral perfusion diagrams.
Databáze: OpenAIRE