Results 11 to 20 of about 527,800 (187)

Long-term results of aggressive hemiarch replacement in 534 patients with type A aortic dissection [PDF]

Journal of Thoracic and Cardiovascular Surgery, 2014
To present the outcomes of routinely performed hemiarch replacement in patients with acute type A aortic dissection.From 1993 to 2013, among 629 patients with acute type A dissection, 534 patients (85%) underwent hemiarch, 63 patients (10%) underwent hemiarch and antegrade thoracic stent grafting, 26 patients (4%) underwent total arch, and 6 patients ...
Bartosz Rylski, Joseph E. Bavaria, Prashanth Vallabhajosyula   +2 more
exaly   +7 more sources

Impact of left subclavian artery management on surgical efficiency and perioperative cerebral infarction in type A aortic dissection under deep hypothermic circulatory arrest: a single-center retrospective cohort study [PDF]

Frontiers in Cardiovascular Medicine
BackgroundAcute type A aortic dissection is a catastrophic cardiovascular emergency requiring urgent surgery. Hemiarch replacement under deep hypothermic circulatory arrest (DHCA) is a standard approach.
Yun Lu, Haisu Xu, Yang Zhang, Jun Wei, Fangyuan Chen   +4 more
doaj   +2 more sources

Predictive factors for late aortic events after central repair of acute DeBakey I dissectionCentral MessagePerspective [PDF]

JTCVS Open
Objective: In acute type A aortic dissection, reports recommend total arch replacement with or without frozen elephant trunk over hemiarch replacement to avoid reoperation attributable to dilation of the residual dissected aorta.
Sho Takagi, MD, PhD, Yoshihiro Goto, MD, Masahiro Inagaki, MD, Atsuki Imagawa, MD, Junji Yanagisawa, MD, Yui Ogihara, MD, Yuichiro Fukumoto, MD, Hideki Kitamura, MD, PhD, Yasuhide Okawa, MD   +8 more
doaj   +2 more sources

The addition of hemiarch replacement to aortic root surgery does not affect safety [PDF]

Journal of Thoracic and Cardiovascular Surgery, 2015
A hemiarch reconstruction, using deep hypothermic circulatory arrest, is the conventional approach for proximal aortic arch reconstruction, but it carries risks of neurologic events and coagulopathy. The addition of a hemiarch reconstruction to an aortic root replacement may prevent future aortic arch pathology.
Patrick M McCarthy, Jane Kruse, Brett F Duncan   +2 more
exaly   +3 more sources

Aortic Hemiarch Replacement through a J-Shaped Lower Partial Sternotomy. [PDF]

Tex Heart Inst J, 2015
Minimally invasive cardiac surgical techniques include the use of partial sternotomy for aortic valve and mitral valve replacement. Partial sternotomy is associated with less pain, better chest and upper-sternal stability, shorter hospital stays, and faster recoveries.
Waterford SD, Rastegar M, Juan V, Khoynezhad A.   +3 more
europepmc   +4 more sources

Feasibility of endovascular aortic arch repair after hemiarch replacement for acute type A aortic dissectionCentral MessagePerspective [PDF]

JTCVS Structural and Endovascular
Objective: We assessed the treatment feasibility of 4 investigational arch endografts currently available in the United States, for patients who have undergone hemiarch replacement for an acute DeBakey I dissection.
Srihari K. Lella, MD, Matthew J. Eagleton, MD, Thoralf M. Sundt, III, MD, Sunita D. Srivastava, MD, Motahar Hosseini, MD, Jordan P. Bloom, MD, MPH, Antonia Kreso, MD, PhD, Serguei Melnitchouk, MD, MPH, Jahan Mohebali, MD, MPH, Arminder S. Jassar, MBBS, FRCS   +9 more
doaj   +2 more sources

Hemiarch repair versus total-arch repair with frozen elephant trunk for acute type A aortic dissection: A propensity score–matched studyCentral MessagePerspective [PDF]

JTCVS Open
Objective: The optimal extent of arch repair remains controversial in acute type A aortic dissection. Although hemiarch replacement (HAR) may offer more favorable perioperative outcomes, total arch replacement with frozen elephant trunk (TAR with FET ...
Julin Zhang, MD, Jili Li, MD, Yaoye Chen, MD, Xingrui Tao, MD, Qianlei Lang, MD, Zhefeng Kang, MD, Jiuhong Li, MD, Hao Niu, MD, Xiangfeng Gong, MD, Ruofan Zhou, MD, Jia Hu, MD, Wei Meng, MD, Zhong Wu, MD, Michael W.A. Chu, MD, Zhenghua Xiao, MD, Chaoyi Qin, MD   +15 more
doaj   +2 more sources

Distal Anastomotic New Entries After Type A Aortic Dissection Repair: An Underreported and Underappreciated Risk? [PDF]

Annals of Thoracic Surgery Short Reports
Background: Acute Stanford type A aortic dissection necessitates emergency surgery. Despite proximal repair, dilation of the downstream aorta is often observed. Distal anastomotic new entry (DANE) may drive adverse remodeling and reintervention.
Stefan van Dinter, MD, Nabil Saouti, MD, PhD, Foeke Nauta, MD, PhD, Guillaume Geuzebroek, MD, PhD, Tychon Geeraedts, MD, Jan Jaap Janssen, MD, Robin Heijmen, MD, PhD   +6 more
doaj   +2 more sources

Unilateral or bilateral cerebral perfusion in hemiarch replacement: A prospective randomized study

Journal of Cardiac Surgery, 2020
We designed a prospective randomized clinical study to compare unilateral and bilateral antegrade cerebral perfusion (ACP) under moderate hypethermia in open distal aortic hemiarch replacement in ascending aortic aneurysm.Forty-two patients were prospectively randomized into two groups; unilateral ACP to Group 1 and bilateral ACP to Group 2.
Bilgin Emrecan, Kadir Çekirdekoğlu
openaire   +5 more sources

Organ protection via core temperature control in Type A aortic dissection using pure hypothermia alone [PDF]

Journal of Cardiothoracic Surgery
Background A new consensus on temperature for organ protective strategies during circulatory arrest on aortic surgery was established in the 2024 EACTS/STS Guidelines.
Hodaka Wakisaka, Tomoaki Suzuki
doaj   +2 more sources