A modified valve-sparing aortic root replacement technique for acute type A aortic dissection: the patch neointima technique
| Autor: | Xiao-Fu Dai, Liang-Wan Chen, Qian-Zhen Li, Xi-Jie Wu |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Pulmonary and Respiratory Medicine
Neointima Valve-sparing aortic root replacement Adult Male medicine.medical_specialty Dissection (medical) Blood Vessel Prosthesis Implantation Aneurysm Blood vessel prosthesis Internal medicine medicine.artery medicine Humans Aorta Aged Aortic dissection Aged 80 and over business.industry Suture Techniques General Medicine Middle Aged medicine.disease Surgery Aortic Aneurysm Blood Vessel Prosthesis Aortic Dissection Treatment Outcome Acute type Aortic Valve cardiovascular system Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery. 42(4) |
| ISSN: | 1873-734X |
| Popis: | We describe a modified valve-sparing aortic root replacement technique for acute type A aortic dissection. After the normal root geometry was restored by removing blood and clots in the proximal false lumen and the valve insufficiency was corrected by simple resuspension of the aortic commissures, three teardrop-shaped patches were sutured inside the sinuses as neointima and then in situ coronary buttons were connected to the small holes created in the corresponding patches. Our initial application showed that this modified valve-sparing aortic root replacement technique is an easy and effective way to restore the geometry of the aortic root and avoid bleeding during surgery for acute type A dissection. |
| Databáze: | OpenAIRE |
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