Use of the variable-length intraluminal sutureless graft
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...
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| Published in: | The Annals of thoracic surgery Vol. 50; no. 4; pp. 624 - 630 |
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| Main Authors: | , |
| Format: | Journal Article |
| Language: | English |
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New York, NY
Elsevier Inc
01-10-1990
Elsevier Science |
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | Graver, L.Michael Tyras, Denis H. |
| Author_xml | – sequence: 1 givenname: L.Michael surname: Graver fullname: Graver, L.Michael – sequence: 2 givenname: Denis H. surname: Tyras fullname: Tyras, Denis H. |
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| Cites_doi | 10.1016/S0022-5223(19)38476-4 10.1007/BF03008543 10.1016/S0003-4975(10)62040-1 10.1016/S0003-4975(10)63628-4 10.1016/S0022-5223(19)37661-5 10.1016/S0022-5223(19)35873-8 10.1016/0002-8703(80)90353-1 10.1097/00000658-197112000-00004 10.1016/S0022-5223(19)39584-4 10.1016/S0022-5223(19)39583-2 10.1016/S0003-4975(10)61548-2 10.1016/S0003-4975(10)63798-8 |
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| Copyright | 1990 The Society of Thoracic Surgeons 1991 INIST-CNRS |
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| Keywords | Dissecting aneurysm Thoracic aorta Human Prosthesis Acute Surgery Cardiovascular disease Technique Aortic disease Induced cardiocirculatory arrest Intraluminal |
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| References | Kouchoukos, Marshall, Wedige-Stecher (BIB16) 1986; 92 Ablaza, Ghosh, Grana (BIB7) 1978; 76 Turley, Ullyot, Godwin (BIB13) 1981; 81 Symbas, Raizner, Tyras, Hatcher, Inglesby, Baldwin (BIB14) 1971; 174 Berger, Romero, Chaudhry, Dobnik (BIB3) 1983; 35 Graham, Stinnett (BIB9) 1987; 44 Hufnagel (BIB5) 1951; 4 Cabrol, Pravie, Mesnildrey (BIB15) 1986; 91 Wheat (BIB1) 1980; 99 Casthely, Fyman, Abrams, Griepp, Ergin (BIB10) 1985; 32 Thomas, Alford, Burrus, Frist, Stoney (BIB12) 1978; 26 Miller, Stinson, Oyer (BIB2) 1979; 78 Olinger, Schweiger, Galbraith (BIB11) 1987; 44 Koyamada, Ishikawa, Yamaki, Kakihata (BIB8) 1985; 26 Carrel (BIB4) 1912; 15 Dureau, Villard, George (BIB6) 1978; 76 Ablaza (10.1016/0003-4975(90)90201-G_BIB7) 1978; 76 Kouchoukos (10.1016/0003-4975(90)90201-G_BIB16) 1986; 92 Carrel (10.1016/0003-4975(90)90201-G_BIB4) 1912; 15 Graham (10.1016/0003-4975(90)90201-G_BIB9) 1987; 44 Casthely (10.1016/0003-4975(90)90201-G_BIB10) 1985; 32 Cabrol (10.1016/0003-4975(90)90201-G_BIB15) 1986; 91 Miller (10.1016/0003-4975(90)90201-G_BIB2) 1979; 78 Symbas (10.1016/0003-4975(90)90201-G_BIB14) 1971; 174 Berger (10.1016/0003-4975(90)90201-G_BIB3) 1983; 35 Koyamada (10.1016/0003-4975(90)90201-G_BIB8) 1985; 26 Olinger (10.1016/0003-4975(90)90201-G_BIB11) 1987; 44 Thomas (10.1016/0003-4975(90)90201-G_BIB12) 1978; 26 Dureau (10.1016/0003-4975(90)90201-G_BIB6) 1978; 76 Turley (10.1016/0003-4975(90)90201-G_BIB13) 1981; 81 Wheat (10.1016/0003-4975(90)90201-G_BIB1) 1980; 99 Hufnagel (10.1016/0003-4975(90)90201-G_BIB5) 1951; 4 |
| References_xml | – volume: 76 start-page: 385 year: 1978 end-page: 389 ident: BIB6 article-title: New surgical technique for the operative management of acute dissection of the ascending aorta publication-title: J Thorac Cardiovasc Surg contributor: fullname: George – volume: 44 start-page: 389 year: 1987 end-page: 393 ident: BIB11 article-title: Primary repair of acute ascending aortic dissection publication-title: Ann Thorac Surg contributor: fullname: Galbraith – volume: 32 start-page: 73 year: 1985 end-page: 78 ident: BIB10 article-title: Anaesthesia for aortic arch aneurysm repair: experience with 17 patients publication-title: Can Anaesth Soc J contributor: fullname: Ergin – volume: 91 start-page: 17 year: 1986 end-page: 25 ident: BIB15 article-title: Long-term results with total replacement of the ascending aorta and reimplantation of the coronary arteries publication-title: J Thorac Cardiovasc Surg contributor: fullname: Mesnildrey – volume: 26 start-page: 42 year: 1978 end-page: 49 ident: BIB12 article-title: The effectiveness of surgical treatment of acute aortic dissection publication-title: Ann Thorac Surg contributor: fullname: Stoney – volume: 78 start-page: 365 year: 1979 end-page: 382 ident: BIB2 article-title: Operative treatment of aortic dissections—experience with 125 patients over a sixteen-year period publication-title: J Thorac Cardiovasc Surg contributor: fullname: Oyer – volume: 35 start-page: 231 year: 1983 end-page: 239 ident: BIB3 article-title: Graft replacement of the thoracic aorta with a sutureless technique publication-title: Ann Thorac Surg contributor: fullname: Dobnik – volume: 174 start-page: 902 year: 1971 end-page: 907 ident: BIB14 article-title: Aneurysms of all sinuses of Valsalva in patients with Marfan's syndrome: an unusual late complication following replacement of aortic valve and ascending aorta for aortic regurgitation and fusiform aneurysm of ascending aorta publication-title: Ann Surg contributor: fullname: Baldwin – volume: 99 start-page: 373 year: 1980 end-page: 387 ident: BIB1 article-title: Acute dissecting aneurysms of the aorta: diagnosis and treatment—1979 publication-title: Am Heart J contributor: fullname: Wheat – volume: 44 start-page: 192 year: 1987 end-page: 198 ident: BIB9 article-title: Operative management of acute aortic arch dissection using profound hypothermia and circulatory arrest publication-title: Ann Thorac Surg contributor: fullname: Stinnett – volume: 4 start-page: 128 year: 1951 end-page: 129 ident: BIB5 article-title: Aortic plastic valvular prosthesis publication-title: Bull Georgetown Univ Med Ctr contributor: fullname: Hufnagel – volume: 92 start-page: 691 year: 1986 end-page: 705 ident: BIB16 article-title: Eleven-year experience with composite graft replacement of the ascending aorta and aortic valve publication-title: J Thorac Cardiovasc Surg contributor: fullname: Wedige-Stecher – volume: 15 start-page: 245 year: 1912 end-page: 248 ident: BIB4 article-title: Results of the permanent intubation of the thoracic aorta publication-title: Surg Gynecol Obstet contributor: fullname: Carrel – volume: 81 start-page: 61 year: 1981 end-page: 68 ident: BIB13 article-title: Repair of dissection of the thoracic aorta: evaluation of false lumen utilizing computed tomography publication-title: J Thorac Cardiovasc Surg contributor: fullname: Godwin – volume: 76 start-page: 390 year: 1978 end-page: 396 ident: BIB7 article-title: Use of the ringed intraluminal graft in the surgical treatment of dissecting aneurysms of the thoracic aorta publication-title: J Thorac Cardiovasc Surg contributor: fullname: Grana – volume: 26 start-page: 488 year: 1985 end-page: 491 ident: BIB8 article-title: Surgical treatment for dissecting aneurysm of the aorta using a double ringed graft publication-title: J Cardiovasc Surg contributor: fullname: Kakihata – volume: 26 start-page: 488 year: 1985 ident: 10.1016/0003-4975(90)90201-G_BIB8 article-title: Surgical treatment for dissecting aneurysm of the aorta using a double ringed graft publication-title: J Cardiovasc Surg contributor: fullname: Koyamada – volume: 78 start-page: 365 year: 1979 ident: 10.1016/0003-4975(90)90201-G_BIB2 article-title: Operative treatment of aortic dissections—experience with 125 patients over a sixteen-year period publication-title: J Thorac Cardiovasc Surg contributor: fullname: Miller – volume: 91 start-page: 17 year: 1986 ident: 10.1016/0003-4975(90)90201-G_BIB15 article-title: Long-term results with total replacement of the ascending aorta and reimplantation of the coronary arteries publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)38476-4 contributor: fullname: Cabrol – volume: 32 start-page: 73 year: 1985 ident: 10.1016/0003-4975(90)90201-G_BIB10 article-title: Anaesthesia for aortic arch aneurysm repair: experience with 17 patients publication-title: Can Anaesth Soc J doi: 10.1007/BF03008543 contributor: fullname: Casthely – volume: 4 start-page: 128 year: 1951 ident: 10.1016/0003-4975(90)90201-G_BIB5 article-title: Aortic plastic valvular prosthesis publication-title: Bull Georgetown Univ Med Ctr contributor: fullname: Hufnagel – volume: 44 start-page: 192 year: 1987 ident: 10.1016/0003-4975(90)90201-G_BIB9 article-title: Operative management of acute aortic arch dissection using profound hypothermia and circulatory arrest publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)62040-1 contributor: fullname: Graham – volume: 26 start-page: 42 year: 1978 ident: 10.1016/0003-4975(90)90201-G_BIB12 article-title: The effectiveness of surgical treatment of acute aortic dissection publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)63628-4 contributor: fullname: Thomas – volume: 81 start-page: 61 year: 1981 ident: 10.1016/0003-4975(90)90201-G_BIB13 article-title: Repair of dissection of the thoracic aorta: evaluation of false lumen utilizing computed tomography publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)37661-5 contributor: fullname: Turley – volume: 92 start-page: 691 year: 1986 ident: 10.1016/0003-4975(90)90201-G_BIB16 article-title: Eleven-year experience with composite graft replacement of the ascending aorta and aortic valve publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)35873-8 contributor: fullname: Kouchoukos – volume: 15 start-page: 245 year: 1912 ident: 10.1016/0003-4975(90)90201-G_BIB4 article-title: Results of the permanent intubation of the thoracic aorta publication-title: Surg Gynecol Obstet contributor: fullname: Carrel – volume: 99 start-page: 373 year: 1980 ident: 10.1016/0003-4975(90)90201-G_BIB1 article-title: Acute dissecting aneurysms of the aorta: diagnosis and treatment—1979 publication-title: Am Heart J doi: 10.1016/0002-8703(80)90353-1 contributor: fullname: Wheat – volume: 174 start-page: 902 year: 1971 ident: 10.1016/0003-4975(90)90201-G_BIB14 article-title: Aneurysms of all sinuses of Valsalva in patients with Marfan's syndrome: an unusual late complication following replacement of aortic valve and ascending aorta for aortic regurgitation and fusiform aneurysm of ascending aorta publication-title: Ann Surg doi: 10.1097/00000658-197112000-00004 contributor: fullname: Symbas – volume: 76 start-page: 390 year: 1978 ident: 10.1016/0003-4975(90)90201-G_BIB7 article-title: Use of the ringed intraluminal graft in the surgical treatment of dissecting aneurysms of the thoracic aorta publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)39584-4 contributor: fullname: Ablaza – volume: 76 start-page: 385 year: 1978 ident: 10.1016/0003-4975(90)90201-G_BIB6 article-title: New surgical technique for the operative management of acute dissection of the ascending aorta publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)39583-2 contributor: fullname: Dureau – volume: 35 start-page: 231 year: 1983 ident: 10.1016/0003-4975(90)90201-G_BIB3 article-title: Graft replacement of the thoracic aorta with a sutureless technique publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)61548-2 contributor: fullname: Berger – volume: 44 start-page: 389 year: 1987 ident: 10.1016/0003-4975(90)90201-G_BIB11 article-title: Primary repair of acute ascending aortic dissection publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)63798-8 contributor: fullname: Olinger |
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| SubjectTerms | 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 |
| Title | Use of the variable-length intraluminal sutureless graft |
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