A surgical technique using two sutureless intraluminal prostheses offers a time-saving approach to repair aortic dissections originating in the transverse arch.
May reduce operative time in arch dissections; leaves open safety, durability, and need for comparative trials.
We present a method for repair of ascending aortic dissections that originate in the transverse aortic arch. The technique utilizes two sutureless intraluminal prostheses, which are joined together and inserted during hypothermic circulatory arrest. A diamond-shaped opening between the two grafts is anastomosed about the orifices of the brachiocephalic arteries. This method affords the advantage of excluding the intimal tear, thereby preventing further propagation of the dissection. Additionally, the method offers the time-saving advantage of the sutureless prosthetic rings for the proximal and distal anastomoses.
No takes yet. Share an insight, caveat, or question.
Eric J. Thompson (1988) studied this question.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: