This site is not optimized for Internet Explorer 8 (or older).

Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.

Surgical Outcomes of Aortic Repair via Transapical Cannulation and the Adventitial Inversion Technique for Acute Type A Aortic Dissection

Friday, August 3, 2018

Submitted by


Source Name: European Journal of Cardio-Thoracic Surgery


Junichi Shimamura, Shin Yamamoto, Susumu Oshima, Kensuke Ozaki, Takuya Fujikawa, Shigeru Sakurai, Yuki Hirai, Tomohiro Hirokami, Nobukazu Moriya, Soichiro Hase, Tassei Nakagawa, Motoshige Yamasaki, Wataru Takayama, Shiro Sasaguri

Ongoing questions in the surgery for type A aortic dissection include arterial cannulation site and the type of distal anastomosis for ascending or hemiarch replacement. Shimamura and colleagues report on the outcomes of 300 patients who underwent aortic repair using transapical arterial cannulation and the adventitial inversion technique at a distal anastomosis. The in-hospital mortality rate was 8%.  During a mean follow-up of 31.7 ± 25.2 months, distal reintervention was performed in 11% of patients, with 3% in-hospital mortality for elective reintervention. The authors conclude that transapical cannulation and the adventitial inversion technique for repair of acute type A aortic dissection provide good early and midterm results.

Add comment

Log in or register to post comments