Arch-first technique used with commercial T-graft to treat subacute type-A aortic dissection in patient with Marfan syndrome

• Published in: Texas Heart Institute journal Vol. 29; no. 1; pp. 26 - 29
• Main Authors: APAYDIN, Anil Z, POSACIOGLU, Hakan, YAGDI, Tahir, ISLAMOGLU, Fatih, CALKAVUR, Tanzer, BUKET, Suat
• Format: Journal Article
• Language: English
• Published: Houston, TX Texas Heart Institute 2002
• Subjects: Adult; Aneurysm, Dissecting - surgery; Aorta, Thoracic - surgery; Aortic Aneurysm, Thoracic - surgery; Biological and medical sciences; Blood and lymphatic vessels; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - methods; Cardiology. Vascular system; Case Reports; Diseases of the aorta; Female; Humans; Marfan Syndrome - complications; Marfan Syndrome - surgery; Medical sciences; Skin disease; Cardiovascular disease; Risk; Marfan syndrome; Arterial disease; Vascular disease; Ischemia; Surgery; Branch; Systemic disease; Graft; Repair; Dissection; WHO; Subacute; Availability; Human; Connective tissue disease; Elastic tissue disease; Rupture; Descending aorta; Exposure; Genetic disease; Case study; Incision; Type; Treatment; Perfusion; Risk factor; Technique; Aortic disease; Brain (vertebrata)
• ISSN: 0730-2347; 1526-6702

Staged repair of extensive thoracic aortic aneurysms puts certain patients at risk of rupture. We report the case of a patient with Marfan syndrome who presented with subacute type-A aortic dissection and a large descending aortic aneurysm. We used the arch-first technique with a commercially available Dacron T-graft. A clamshell incision was used for exposure. A button of arch vessels was anastomosed to the T-graft. Antegrade cerebral perfusion was established through the side branch. The distal end of the graft was anastomosed to the descending aorta and the proximal end to a composite graft. The duration of cerebral ischemia was 30 minutes; antegrade cerebral perfusion lasted 52 minutes. The patient experienced no neurologic dysfunction and was discharged with no major deficit. This technique shortens brain-ischemia time and is a good option if the risk of rupture of the descending component of an extensive thoracic aortic aneurysm is high. To the best of our knowledge, this is the 1st reported case in which the arch-first technique has been used with a commercially available T-graft to treat subacute type-A aortic dissection in a patient with Marfan syndrome.