This video and article detail the author’s technique for the classic hybrid arch debranching procedure. It is performed for patients who have had a prior type A dissection repair with aortic arch and descending thoracic aortic dilation but who are not felt to be candidates for more extensive hybrid repairs that require total arch replacement.
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Aortic Arch
August 22, 2018
August 3, 2018
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.
July 24, 2018
This video and article from Desai and colleagues demonstrates double transposition and single branched endovascular repair for total arch replacement in a 59-year-old man who presented with a 7 cm chronically dissected arch and distal aorta. The patient had previously undergone a DeBakey I dissection repair.
April 26, 2018
The authors retrospectively evaluated the long-term fate of the aortic arch in 168 patients with bicuspid aortic valves who had undergone either ascending aortic (24%) or aortic root (76%) replacement. At a median follow-up of 5.9 years, the mean aortic arch diameter went from 2.9 cm preoperatively to 3.0 cm at follow-up (p=ns). The authors conclud
March 21, 2018
Of 1,232 patients who underwent elective arch repairs at 11 European aortic centers, 155 were selected and their surgical outcomes were analyzed retrospectively. Approximately 13% of patients suffered an aortic event, and 85% of them needed reoperation.
February 17, 2018
A balanced comment on the occasion of the latest retrospective nonrandomised Coselli report on redo thoracoabdominal aortic aneurysms (TAAAs).
January 8, 2018
A refreshing brief editorial comment on hydrohemodynamics on the occasion of critiquing a manuscript on related echocardiographic computations in neonates. The focus is on the Laplacean principles of compliance/elastance applied to the left ventricle.
January 2, 2018
A dense but short and readable editorial arguing for the complexity of risk stratification of aortic pathology.
November 14, 2017
The authors present a successful surgical treatment in a 14-year-old girl with Loeys-Dietz syndrome; a redo aortic arch and ascending aorta replacement with a valve-sparing operation was performed.
August 17, 2017
The Yale group retrospectively reviewed their experience with DeBakey type I aortic dissections to evaluate whether patients with bovine aortic arches had a unique distribution of entry sites and differential outcomes. A total of 315 patients were included in the study, of which 49 (16%) had a bovine aortic arch.