Results 21 to 30 of about 527,800 (187)

A safe strategy for redo sternotomy for emergency ascending aorta and hemiarch replacement [PDF]

Perfusion
Redo sternotomy and complex redo surgery to replace the ascending aorta and the aortic hemiarch in the presence of an aortocutaneous fistula presents a unique technical challenge to prevent exsanguination upon chest re-entry and organ (particularly cerebral) ischemia during circulatory arrest.
Kumar, Ujjawal, Sitaranjan, Daniel, Wijewardena, Chandana, Farid, Shakil, Moorjani, Narain   +4 more
openaire   +5 more sources

Acute Type A Aortic Dissection with Concomitant Intracerebral Haemorrhage: A Therapeutic Dilemma Regarding the Timing of Surgery [PDF]

Journal of Cardiovascular Development and Disease
Acute type-A aortic dissection is a life-threatening emergency requiring prompt surgical intervention. However, the management of patients presenting with concomitant intracerebral haemorrhage remains challenging, as the risk of neurological ...
Yoganiranjana Dharuman, Borko Ivanov, Sami Sirat, Mirko Doss   +3 more
doaj   +2 more sources

Warm aortic arch repair: Redefining proximal aortic arch surgeryCentral MessagePerspective [PDF]

JTCVS Techniques
Background: We recently introduced warm aortic arch repair, a new novel approach that obviates the need for hypothermic circulatory arrest. However, there have been no comparative analyses with conventional repair.
Shinichi Fukuhara, MD, Robert B. Hawkins, MD, MSc, Gorav Ailawadi, MD, Barbara Hamilton, MD   +3 more
doaj   +2 more sources

Total Arch versus Hemiarch Replacement for Type A Acute Aortic Dissection: A Single-Center Experience. [PDF]

Tex Heart Inst J, 2016
We retrospectively evaluated early and intermediate outcomes of aortic arch surgery in patients with type A acute aortic dissection (AAD), investigating the effect of arch surgery extension on postoperative results.
Lio A, Nicolò F, Bovio E, Serrao A, Zeitani J, Scafuri A, Chiariello L, Ruvolo G.   +7 more
europepmc   +3 more sources

Outcomes of hemi- vs. total arch replacement in acute type A aortic dissection: A systematic review and meta-analysis

Frontiers in Cardiovascular Medicine, 2022
BackgroundAcute type A aortic dissections (ATAAD) pose a challenge to surgeons due to high mortality, and decision making regarding the appropriate procedure is controversial.
Likang Ma, Likang Ma, Likang Ma, Tianci Chai, Tianci Chai, Tianci Chai, Xiaojie Yang, Xinghui Zhuang, Xinghui Zhuang, Xinghui Zhuang, Qingsong Wu, Qingsong Wu, Qingsong Wu, Liangwan Chen, Liangwan Chen, Liangwan Chen, Zhihuang Qiu, Zhihuang Qiu, Zhihuang Qiu   +18 more
doaj   +1 more source

Outcomes after concomitant arch replacement at the time of aortic root surgeryCentral MessagePerspective

JTCVS Open, 2023
Background: Contemporary series of aortic arch replacement at the time of aortic root surgery are limited in number of patients and mostly address hemiarch replacement.
Aravind Krishnan, MD, Alex R. Dalal, MD, Albert James Pedroza, MD, Ken Nakamura, MD, Nobu Yokoyama, MD, Emily Tognozzi, PA-C, Y. Joseph Woo, MD, Michael Fischbein, MD PhD, John Ward MacArthur, MD   +8 more
doaj   +1 more source

The Clinical Impact of the Extension of Acute Type A Aortic Surgery on Long-Term Outcomes: Should We Tend to Be Conservative?

Medicina, 2023
Background and Objectives: Despite advances in surgical techniques, industry adjuncts, and cerebral perfusion techniques, the in-hospital mortality rate of type A acute dissection (TAAD) remains at 15–30%. This study aimed to investigate the influence of
Natasa Jankovic, Milos Matkovic, Ilija Bilbija, Vladimir Milicevic, Mina Zlatkovic, Nemanja Aleksic, Vladimir Cvetic, Jelena Milin-Lazovic, Svetozar Putnik   +8 more
doaj   +1 more source

Modified Technique for Retrograde Cerebral Perfusion during Hemiarch Aortic Replacement [PDF]

AORTA, 2021
Abstract Background Uncertainty remains regarding the optimal method of brain protection for procedures that require repair or replacement of the aortic arch. We examined the early outcomes of a technique for brain protection in patients undergoing partial aortic arch (hemiarch) replacement that involves deep hypothermic circulatory arrest ...
Nicholas T. Kouchoukos, Marc Haynes, Sarah Hester, Catherine F. Castner   +3 more
openaire   +2 more sources

Safety and arch complications after hemiarch versus total arch replacement with stented elephant trunk in acute type 1 dissection: Is a stent graft always beneficial?Central MessagePerspective

JTCVS Open, 2022
Objective: We aimed to determine the efficacy of total arch replacement with stented elephant trunk by comparing it with hemiarch replacement with and without open stent graft for acute aortic dissection type 1.
Jun Hayashi, MD, PhD, Hiroyuki Nakajima, MD, PhD, Toshihisa Asakura, MD, PhD, Ri Sho, PhD, Chiho Tokunaga, MD, PhD, Akitoshi Takazawa, MD, Akihiro Yoshitake, MD, PhD   +6 more
doaj   +1 more source

The application of the single branch-first combined with the mid-arch clamping technique and the embedded anastomosis technique for DeBakey type II aortic dissection

Journal of Cardiothoracic Surgery, 2020
Background Patients with DeBakey type II aortic dissection or ascending aortic aneurysms involving the right innominate artery require hemiarch replacement and placement of a right innominate artery graft.
Quan Li, Hong Qu, Tianqi Liu, Min Li, Shanliang Chen, Peijie Li, Li Xu, Hengbao Wang   +7 more
doaj   +1 more source