An alternative approach to diffuse thoracic aortomegaly: on-pump hybrid total arch repair without circulatory arrest.
Publication/Presentation Date
1-1-2012
Abstract
Diffuse thoracic aortomegaly has conventionally been managed with a two-stage elephant trunk procedure, requiring prolonged circulatory arrest, with an inherent risk of major morbidity and mortality. Recently, to improve outcomes, several hybrid arch procedures have been proposed using off-pump techniques. We have adopted an alternative, single-stage hybrid strategy using cardiopulmonary bypass without circulatory arrest to replace the ascending aorta and perform arch debranching and antegrade endovascular stent graft deployment. Unlike off-pump procedures, pathology of the aortic valve, root, and ascending aorta is addressed while avoiding the complications of stent graft placement in the native ascending aorta.
Volume
93
Issue
1
First Page
326
Last Page
328
ISSN
1552-6259
Published In/Presented At
Kent, W. D., Wong, J. K., Herget, E. J., Bavaria, J. E., & Appoo, J. J. (2012). An alternative approach to diffuse thoracic aortomegaly: on-pump hybrid total arch repair without circulatory arrest. The Annals of thoracic surgery, 93(1), 326–328. https://doi.org/10.1016/j.athoracsur.2011.08.051
Disciplines
Medicine and Health Sciences
PubMedID
22186465
Department(s)
Department of Surgery
Document Type
Article