Simplifying aortic arch surgery: open zone 2 arch with single branched thoracic endovascular aortic repair completion.

Publication/Presentation Date

5-1-2018

Abstract

BACKGROUND: Distal aortic complications from acute DeBakey I dissection repair are an important source of late morbidity and mortality. We present an early experience of using a novel single-branched thoracic aortic endograft in conjunction with open techniques to treat acute DeBakey I aortic dissection.

METHODS: The patients in this series include five hyperacute dissections managed with a combined zone 2 partial arch replacement and placement of a zone 2 single subclavian branch endograft.

RESULTS: There were no perioperative mortalities, strokes, or spinal cord ischemia in any patients at either stage of the procedure. At follow-up imaging, no patients had anterograde flow into the false lumen. All patients experienced false lumen thrombosis in the stented portion of the aorta.

CONCLUSIONS: This combination of open repair techniques and the use of a novel branched endograft resulted in excellent early outcomes in this pioneer series. Further investigation of these techniques in a prospective fashion is warranted.

Volume

7

Issue

3

First Page

351

Last Page

356

ISSN

2225-319X

Disciplines

Medicine and Health Sciences

PubMedID

30155413

Department(s)

Department of Surgery

Document Type

Article

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