Demonstrates the potential feasibility of using endovascular stent-grafts to treat chronic type A aortic dissection without requiring cardiopulmonary bypass or thoracotomy.
Supports feasibility in a single case of chronic type A dissection; leaves open safety, durability, and need for prospective trials.
Type A aortic dissection is usually treated with standard surgery, requiring cardiopulmonary bypass and sometimes deep hypothermia. Besides the well-established procedure, mortality and complications are considerable. Using the knowledge and lessons learned from the endovascular treatment of descending aortic diseases, emerging reports describe new approaches to the condition, using endovascular stent-grafts. This report describes an endovascular treatment of a chronic type A aortic dissection without cardiopulmonary bypass and avoiding thoracotomy.
No takes yet. Share an insight, caveat, or question.
Palma et al. (2007) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: