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A Simplified Approach to Managing Acute Aortic Dissection: Tips and Tricks

Tuesday, December 1, 2020

Tseng J-C, Fayans AH, Hemli JM, et al.. A Simplified Approach to Managing Acute Aortic Dissection: Tips and Tricks. December 2020. doi:10.25373/ctsnet.13308464

The treatment acute Type I aortic dissection is an essential life-saving operation. This case presentation demonstrates one of the many methods to facilitate reconstruction, with narration offering tips and tricks.

The video depicts the sizing for the antegrade frozen elephant trunk, central aortic cannulation guided by the TEE with the TEE images for reference, moderate hypothermia with ACP/RCP, and root reconstruction with decision-making to utilize Cabrol reconstruction of the coronaries.


References

  1. Hemli JM, Mattia A, Payabyab E, Dudiy Y, Scheinerman SJ, Brinster DR. Aortic cannulation in DeBakey type I aortic dissection facilitates subsequent deployment of a frozen elephant trunk. Heart Lung Circ. 2018 Jun;27(6):767-770.
  2. Payabyab EC, Hemli JM, Mattia A, Kremers A, Vatsia SK, Scheinerman SJ, et al. The use of innominate artery cannulation for antegrade cerebral perfusion in aortic dissection. Journal of cardiothoracic surgery. J Cardiothorac Surg. 15(1):205.
  3. Leshnower BG, Rangaraju S, Allen JW, Stringer AY, Gleason TG, Chen EP. Deep hypothermia with retrograde cerebral perfusion versus moderate hypothermia with antegrade cerebral perfusion for arch surgery. Ann Thorac Surg. 2019 Apr;107(4):1104-1110.

Disclosure

Derek Brinster is a consultant and/or speaker for Terumo, Cryolife, and Cook Medical.


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