Acute Type-A aortic dissection with patent false lumen through to the abdominal aorta: effects of a conventional elephant trunk on malperfusion syndromes and narrowed true lumen

Abstract

High incidences of MS were observed in this particular pathology. An extremely narrowed true lumen was accompanied by a high incidence of MS and mortality.

A Meta-Analysis of Total Arch Replacement With Frozen Elephant Trunk in Acute Type A Aortic Dissection

“…Pooled analyses (Table 5) demonstrated the cardiopulmonary bypass time of 207.1 (95% confidence interval [CI], 186.1-228.1) minutes (Appendix B, Figure E1), aortic cross-clamp time of 123.3 (95% CI, 113.1-133.5) minutes (Appendix B, Figure E2), selective antegrade cerebral perfusion time of 49.3 (95% CI, 37.6-61.0) minutes (Appendix B, Figure E3), hypothermic circulatory arrest time of 39.0 (95% CI, 30.7-47.2) minutes (Appendix B, Figure E4), early mortality of 9.2% (95% CI, 7.7-11.0%; Appendix B, Figure E5), and stroke of 4.8% (95% CI, 2.5-9.0%; Appendix B, Figure E6), spinal cord injury of 3.5% (95% CI, 1.9-6.6%; Appendix B, Figure E7), overall mortality of 13.0% (95% CI, 10.4-16.0%; Appendix B, Figure E8), reintervention of 9.6% (95% CI, 5.6-15.8%; Appendix B, Figure E9), and false lumen thrombosis of 96.8% (95% CI, 90.7-98.9%; Appendix B, Figure E10). As compared with our results, outcomes of major case series [38][39][40][41] of conventional elephant trunk in exclusive acute type A aortic dissection and 2 previous meta-analyses 2,3 of frozen elephant trunk in various aortic pathologies are summarized in Table 5.…”