Total arch graft replacement in patients with acute type a aortic dissection

Kazui, Teruhisa; Kimura, Nozomu; Yamada, Osamu; Komatsu, S

doi:10.1016/0003-4975(94)91936-4

Cited by 65 publications

(29 citation statements)

References 19 publications

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“…A further significant benefit of DAR over PAR was the higher rate of complete false lumen thrombosis of the thoracic aorta (OR = 11.16; p < 0.001; high heterogeneity). It has been reported that about 13–25% of patients with a residual patent false lumen in the descending thoracic aorta require another operation within five years . In particular, 30% of patients in whom an entry tear was not excluded require an additional operation within one year.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Versus Conventional Treatment of Acute Type A Aortic Dissection

et al. 2015

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Distal aortic repair may reduce the risk of distal reintervention and increase the rate of false lumen thrombosis without significant increase in operative mortality and permanent neurologic deficit; however, no benefit with respect to late mortality was found. The frozen elephant trunk may reduce the risk of distal aortic reintervention and may increase the false lumen thrombosis of the thoracic aorta in comparison with antegrade/retrograde stent deployment procedures.

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Section: Discussionmentioning

confidence: 99%

Hybrid Versus Conventional Treatment of Acute Type A Aortic Dissection

et al. 2015

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“…In 1994, Ando et al and Kazui et al separately recommended more extensive distal repair in patients with AcA-AoD on the basis of low operative mortality in patients undergoing total arch replacement with SACP (144,145). Follow-up by Kazui in 2000 reported a 16% mortality rate among 70 selected patients who underwent total arch replacement for AcA-AoD primarily using the multibranch technique, thus demonstrating the feasibility of emergent total arch replacement.…”

Section: The Fate Of the Dissected Arch And Thoracoabdominal Aorta: Hmentioning

confidence: 97%

Evolution of surgical therapy for Stanford acute type A aortic dissection

Chiu¹,

Miller²

2016

ASVIDE

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Acute type A aortic dissection (AcA-AoD) is a surgical emergency associated with very high morbidity and mortality. Unfortunately, the early outcome of emergency surgical repair has not improved substantially over the last 20 years. Many of the same debates occur repeatedly regarding operative extent and optimal conduct of the operation. The question remains: are patients suffering from too large an operation or too small?The pendulum favoring routine aortic valve resuspension, when feasible, has swung towards frequent aortic root replacement. This already aggressive approach is now being challenged with the even more extensive valve-sparing aortic root replacement (V-SARR) in selected patients. Distally, open replacement of most of the transverse arch is best in most patients. The need for late aortic re-intervention has not been shown to be affected by more extensive distal operative procedures, but the contemporary enthusiasm for a distal frozen elephant trunk (FET) only seems to build. It must be remembered that the first and foremost goal of the operation is to have an operative survivor; additional measures to reduce late morbidity are secondary aspirations. With increasing experience, true contraindications to emergency surgical operation have dwindled, but patients with advanced age, multiple comorbidities, and major neurological deficits do not fare well. The endovascular revolution, moreover, has spawned innovative options for modern practice, including ascending stent graft and adaptations of the old flap fenestration technique. Despite the increasingly complex operations and ever expanding therapies, this life-threatening disease remains a stubborn challenge for all cardiovascular surgeons. Development of specialized thoracic aortic teams and regionalization of care for patients with AcA-AoD offers the most promise to improve overall results.

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“…Dans le même temps, Westaby, en Angleterre, promouvait la pratique systématique de l'anastomose distale « ouverte » sous arrêt circulatoire et hypothermie profonde (21), tandis que Kazui, au Japon, commençait à prôner le remplacement systématique de toute la crosse aortique sous arrêt circulatoire distal et perfusion cérébrale sélective en hypothermie modérée (22).…”

Section: Dissections Aiguësunclassified

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2009

Les Syndromes Aortiques Aigus

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Total arch graft replacement in patients with acute type a aortic dissection

Cited by 65 publications

References 19 publications

Hybrid Versus Conventional Treatment of Acute Type A Aortic Dissection

Hybrid Versus Conventional Treatment of Acute Type A Aortic Dissection

Evolution of surgical therapy for Stanford acute type A aortic dissection

Quand et comment remplacer la crosse de l’aorte?

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