Endovascular treatment of aortic arch chronic dissection with a branched endograft following previous ascending aorta replacement for Acute Type A dissection: midterm results from an international multicenter study

2018 ◽  
Author(s):  
Dorian Verscheure
Keyword(s):  
Multicenter Study ◽  
Ascending Aorta ◽  
Acute Type ◽  
Midterm Results ◽  
Acute Type A Dissection ◽  
Aorta Replacement ◽  
Type A Dissection ◽  
International Multicenter Study ◽  
International Multicenter ◽  
Ascending Aorta Replacement

Partial Clamping of the Brachiocephalic Trunk for Total Ascending Aorta Replacement without Circulatory Arrest: Early and Midterm Results

2004 ◽  
Vol 7 (3) ◽  
pp. E201-E207
Author(s):  
Antonio Maria Calafiore ◽  
Michele Di Mauro ◽  
Carlos-A. Mestres ◽  
Gabriele Di Giammarco ◽  
Giovanni Teodori ◽  
...  
Keyword(s):  
Circulatory Arrest ◽  
Ascending Aorta ◽  
Midterm Results ◽  
Brachiocephalic Trunk ◽  
Aorta Replacement ◽  
Ascending Aorta Replacement

scholarly journals Expanding Perigraft Seroma after A scending Aorta Replacement

2021 ◽  
Author(s):  
Shinji Kanemitsu ◽  
Shunsuke Sakamoto ◽  
Satoshi Teranishi ◽  
Toru Mizumoto
Keyword(s):  
Fibrin Glue ◽  
Thoracic Aorta ◽  
Aortic Surgery ◽  
Final Diagnosis ◽  
Prosthetic Graft ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Perigraft Seroma ◽  
Aorta Replacement ◽  
Type A Dissection

Abstract BackgroundPerigraft seroma is a persistent and sterile fluid confined within a fibrous pseudomembrane surrounding a graft that develops after graft replacement. Development of perigraft seroma is an uncommon complication that occurs after the surgical repair of the thoracic aorta using woven polyester grafts. mechanism underlying perigraft seroma formation remains unclear.Case presentationHerein, we describe the case of 77-year-old man who underwent repeat sternotomy for the treatment of large perigraft seroma 1 year after ascending aorta replacement for acute type A dissection. After removing a cloudy yellow fluid, we covered the prosthetic graft with fibrin glue and wrapped it with a new graft. Bacterial culture and laboratory examination of the fluid confirmed the final diagnosis of perigraft seroma, and there was no evidence of recurrence. The area in which fluid accumulated around the graft shrunk 1 year after surgery.ConclusionsThe cause of a expanding perigraft after repair of the thoracic aorta remains unknown. Physicians should be aware that chronic expanding mediastinal seroma with Dacron grafts is one of the rare postoperative complications of thoracic aortic surgery. Applying fibrin glue to the graft surface might effectively prevent the recurrence of perigraft seroma.

scholarly journals Intimal Flap Vegetation Following Aortic Root Re-dissection

Aorta ◽  
2016 ◽  
Vol 04 (01) ◽  
pp. 22-24
Author(s):  
Hiroaki Osada ◽  
Hiroyuki Nakajima ◽  
Katsuaki Meshii ◽  
Motoaki Ohnaka
Keyword(s):  
Infective Endocarditis ◽  
Aortic Dissection ◽  
Ascending Aorta ◽  
Acute Type ◽  
Sinus Of Valsalva ◽  
Type A Aortic Dissection ◽  
Intimal Flap ◽  
Prophylactic Measures ◽  
Aorta Replacement ◽  
Ascending Aorta Replacement

AbstractA 75-year-old man who had undergone ascending aorta replacement for acute Type A aortic dissection presented with a recurring high fever. Transesophageal echocardiography revealed that a vegetation had formed on the re-dissected intimal flap of the noncoronary sinus of Valsalva. This didactic case suggests that antibiotic prophylactic measures be considered for aortic dissection flaps as for irregular valves susceptible to infective endocarditis.

Severe Stenosis of the True Lumen in the Abdominal Aorta After an Ascending Aorta Reconstruction for an Acute Type A Dissection: Report of a Case

Surgery Today ◽  
2002 ◽  
Vol 32 (8) ◽  
pp. 720-723 ◽  
Author(s):  
Hajime Kin ◽  
Tatsuya Sasaki ◽  
Takayuki Nakajima ◽  
Hiroshi Izumoto ◽  
Masayuki Mukaida ◽  
...  
Keyword(s):  
Abdominal Aorta ◽  
Type A ◽  
Ascending Aorta ◽  
Acute Type ◽  
True Lumen ◽  
Severe Stenosis ◽  
Acute Type A Dissection ◽  
Type A Dissection

scholarly journals Patient trends and outcomes of surgery for type A acute aortic dissection in Japan: an analysis of more than 10 000 patients from the Japan Cardiovascular Surgery Database

2019 ◽  
Vol 57 (4) ◽  
pp. 660-667 ◽  
Author(s):  
Tomonobu Abe ◽  
Hiroyuki Yamamoto ◽  
Hiroaki Miyata ◽  
Noboru Motomura ◽  
Yoshiyuki Tokuda ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Operative Mortality ◽  
Cardiovascular Surgery ◽  
Type A ◽  
Ascending Aorta ◽  
Acute Type ◽  
Acute Type A Dissection ◽  
Type A Dissection ◽  
Hemiarch Replacement

Abstract OBJECTIVES To evaluate the background trends and surgical outcomes for more than 10 000 patients with acute type A dissection in Japan in a recent 8-year period. METHODS Data on replacement of the ascending aorta and/or aortic arch for acute type A dissection were collected from the Japan Cardiovascular Surgery Database from 2008 to 2015. Linear-by-linear association tests or Cuzick’s test for trend was used to evaluate group trends over time. The results were calculated for ascending or hemiarch replacement and arch replacement. A multivariable logistic regression model was used to calculate the risk-adjusted operative mortality rate. RESULTS A total of 11 843 patients were included. The overall 30-day mortality and operative mortality rates were 7.6% and 9.5%, respectively. The number of surgically treated cases increased from 2436 patients in 2008–2009 to 3533 in 2014–2015, a 45.0% increase. A trend analysis revealed significant changes in patient characteristics with time, including increasing age and rate of preoperative renal failure. Despite worsening risk factors, the unadjusted operative mortality rate with arch replacement showed a significant downward trend (P = 0.01; test of trend). The risk-adjusted mortality rate showed a downward trend both in ascending aorta or hemiarch replacement and arch replacement, although the trend was not statistically significant (P > 0.05). CONCLUSIONS Unadjusted and adjusted operative deaths have shown a decreasing trend, although patients undergoing surgery for acute type A dissection have demonstrated worsening of risk factors, such as age and renal failure. The number of surgeries performed for acute type A dissection significantly increased throughout the study period in Japan.

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