Acute Type A Aortic Dissection Repair

Shruti Jayakumar

doi:doi:10.25373/ctsnet.7056383

Tuesday, September 18, 2018

By

Shruti Jayakumar

Rachel Lee

Jason Varzaly

James Edwards

Jayakumar S, Simon-Lee R, Varzaly J, Edwards J. Acute Type A Aortic Dissection Repair. September 2018. doi:10.25373/ctsnet.7056383.

This video demonstrates the steps of an acute type A aortic dissection repair. The authors used a stented E-vita graft to replace the descending aorta and the arch. An aortic homograft was used to replace the aortic root and valve.

This video was produced in collaboration with Heartwork Videos.

Comments

Submitted by Ramón Pérez-Caballero on Wed, 2018-09-19 14:45

Very nice video. Your root replacement material looks like a porcine xenograft, not an homograft. Its that ok? Thanks for sharing

Submitted by Jason Varzaly on Wed, 2018-09-19 20:20

You are quite right - it is not a homograft but is a Freestyle Aortic Root (Porcine Xenograft). Thank you for your comment.

Submitted by Ritwick Bhuyan on Thu, 2018-09-20 11:42

That was a great piece of work Dr Jason . Thanks very much for such a nice educative video . Do you have any preoperative CT Scan measurement for the E-Vita graft ? Will you always prefer to use this technique in all Type A dissections ?

Submitted by Germán Fortunato on Sat, 2018-09-22 16:12

Excellent video! Clear and concisely, congratulations! A couple of questions: 1. How old is the patient? What was the main reason that you used a Freestyle instead a Bentall de Bono procedure?, and What were the measures on the preoperative CT scan? 2. Did you consider at the beginning use a Thoraflex prosthesis too? Thank you again for the video, very useful.

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