Use of the variable-length intraluminal sutureless graft

• Published in: The Annals of thoracic surgery Vol. 50; no. 4; pp. 624 - 630
• Main Authors: Graver, L.Michael, Tyras, Denis H.
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-10-1990; Elsevier Science
• Subjects: Aged; Aneurysm, Dissecting - surgery; Aorta - surgery; Aortic Aneurysm - surgery; Biological and medical sciences; Blood and lymphatic vessels; Blood Vessel Prosthesis - methods; Cardiology. Vascular system; Diseases of the aorta; Female; Heart Arrest, Induced; Humans; Hypothermia, Induced; Male; Medical sciences; Middle Aged; Prosthesis Design; Sutures; Dissecting aneurysm; Thoracic aorta; Human; Prosthesis; Acute; Surgery; Cardiovascular disease; Technique; Aortic disease; Induced cardiocirculatory arrest; Intraluminal
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/0003-4975(90)90201-G

From August 1987 to May 1988 we treated 4 patients with acute ascending aortic dissections with a variable-length intraluminal aortic prosthesis. This operation uses profound hypothermic circulatory arrest and represents a refinement of existing techniques. There was no mortality, and morbidity was minimal. Modifications of this technique can be used in performing proximal aortic root reconstruction with a composite valved conduit. The use of a variable-length intraluminal prosthesis and hypothermic circulatory arrest is illustrated. This is a safe and useful technique in select cases of acute ascending aortic dissection.