A novel approach to reconstructing the distal aortic arch

Kanagasabay, R.R.; Matalanis, G.
March 2002
European Journal of Cardio-Thoracic Surgery;Mar2002, Vol. 21 Issue 3, p544
Academic Journal
Repair of the aortic arch remains one of the greatest challenges in cardiac surgery. This difficulty is compounded by associated descending or thoracoabdominal pathology. Options include single stage repair, two stage procedures and the ingenious elephant trunk operation where a distal trunk is left for reconnection at a subsequent operation or completion by endovascular stenting. We present a technique involving the use of horizontal interrupted buttressed sutures. This allows the distal suture line to be safely placed more distally than is generally the case, achieves reliable haemostasis and may avoid the need for a second stage procedure in some cases.


Related Articles

  • Goodbye, Paul. Singer, Karl // Patient Care;5/30/1999, Vol. 33 Issue 10, p7 

    Editorial. Presents the case of an 82-year-old man who developed an abdominal aortic aneurysm after undergoing complex cardiac surgery. Case as an illustration of how primary care physicians help patients choose the optimal path among multiple therapeutic alternatives; Author's discussion with...

  • A torn heart. Avveniri, GinaRose // Good Housekeeping;Oct2005, Vol. 241 Issue 4, p104 

    Presents an article relating the surgery undergone by a mother suffering from aortic dissection. Nature of the heart disease; Condition of the mother prior the surgery; Lessons learned from the experience.

  • Left ventricular pseudoaneurysm causing coronary angiography images resembling myocardial bridging. Ibrahim Ozdogru; Huseyin Arinc; Ali Dogan; Tugrul Inanc; Nihat Kalay; Emrullah Basar; Tevfik Tezcaner // International Journal of Cardiovascular Imaging;Apr2007, Vol. 23 Issue 2, p135 

    Abstract??Acquired pseudoaneurysm of the left ventricle is a rare disorder that usually ofvccurs after transmural myocardial infarction or after cardiac surgery. Pseudoaneurysms are usually detected because of symptoms; less often incidentally. Here we present a case of pseudoaneurysm as a...

  • Stress test gets to heart of matter.  // Engineer (00137758);8/6/2004, Vol. 293 Issue 7657, p7 

    Reports that researchers at Warwick University have combined a stress test designed to gauge the strain on wartime Spitfires with modern rapid prototyping techniques to help protect heart surgery patients. Production of latex copy of aortic aneurysm.

  • Study Analyzes Best Approach for Treating Abdominal Aortic Aneurysms in the Elderly. Schermerhorn, Marc L.; O'Malley, A. James; Jhaveri, Ami; Cotterill, Philip; Pomposelli, Frank; Landon, Bruce E. // Ascribe Newswire: Health;1/30/2008, p1 

    The article reports on the findings of the study which analyzes the best approach for the treatment of abdominal aortic aneurysms (AAA) in the elderly. After conducting a clinical observation of over 45,000 Medicare beneficiaries treated for AAA, half with open repair, and half with endovascular...

  • Thoracoabdominal Aortic Aneurysm in an Infant Treated by Thromboexclusion with Thoracoabdominal Aortic Bypass. Hashimoto, Ryoichi; Hada, Masao; Kamiya, Kihachiro; Tada, Yusuke; Ueno, Akira; Yanai, Jun; Komai, Takayuki // Angiology;Dec1996, Vol. 47 Issue 12, p1157 

    A case of a huge thoracoabdominal aortic aneurysm in an eighteen-month-old boy is reported. Surgical treatment was successfully performed by thromboexclusion of the aneurysm with thoracoabdominal aortic bypass using a low-porosity woven Dacron graft 10 mm in diameter and of sufficient surplus...

  • Acquired supravalvular aortic stenosis: a late complication of replacement of the ascending aorta. Turley, Andrew J.; Dark, John; Adams, Philip C. // European Journal of Cardio-Thoracic Surgery;Sep2008, Vol. 34 Issue 3, p690 

    Abstract: Aortic syndromes are an increasing cause of morbidity and mortality. Ascending aortic dissection is a clinical emergency with most patients requiring open surgery to replace the ascending aorta. Detection through clinical suspicion, improved non-invasive imaging and refined surgical...

  • Use of Amplatzer Vascular Plug (AVP) in emergency embolisation: preliminary experience and review of literature. Monica Mangini; Domenico Laganà; Federico Fontana; Andrea Ianniello; Paolo Nicotera; Maria Petullà; Gianpaolo Carrafiello; Carlo Fugazzola // Emergency Radiology;May2008, Vol. 15 Issue 3, p153 

    Abstract  Amplatzer Vascular Plug (AVP) is a device recently proposed for extra-cardiac procedures such as arterial and venous embolisation. In this paper, we assess the usefulness of AVP in emergency embolisation presenting our preliminary experience and reviewing the...

  • Results of Castro Bernardes intraluminal ring in surgery for ascending aortic aneurysms and dissections. Novaes, Fernando Rotatori; Navarro, Tulio Pinho; de Castro Bernardes, Rodrigo; Reis Pinto, Fernando Antonio Roquete; Moreira Lima, Luiz Cláudio; da Silveira Monteiro, Ernesto Lentz; Perpétua Medeiros, Carla Patrícia // Brazilian Journal of Cardiovascular Surgery;abr-jun2013, Vol. 28 Issue 2, p176 

    Objective: To demonstrate surgical results using Castro Bernardes intraluminal ring in ascending aorta surgery, instead of conventional suture. Methods: 95 patients underwent ascending aorta surgery from December 2008 to April 2011 at Madre Tereza Hospital (Belo Horizonte, MG, Brazil), using...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics