Abstract

PURPOSE
One current method of anastomosis in aortic dissection type A is the adventitial inversion technique. To improve hemostasis at the anastomotic site, we have developed a novel technique for distal anastomosis involving adventitial inversion employing graft telescopic insertion.
METHODS
The adventitia was inverted into the aortic lumen and the anastomosis with a Dacron tube-graft was made in a telescopic method, covering the inverted adventitia.
RESULTS
Five patients have undergone emergency ascending aortic replacement for aortic dissection by one surgeon using this technique. There have been no reoperations for bleeding or false aneurysm.
CONCLUSION
Complete coverage of the inverted adventitia eliminated the potential risk of thrombus formation. Graft telescopic insertion lead to complete hemostasis.

Links

Publisher Full Text

Authors

Rylski B, Siepe M, Blanke P, Euringer W, Schoellhorn J, Beyersdorf F

Institution

University Cardiovascular Center Freiburg-Bad Krozingen, Freiburg, Germany.

Source

Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia 18:3 2012 pg 278-80

MeSH

Acute Disease
Adventitia
Aneurysm, Dissecting
Aortic Aneurysm
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation
Humans
Polyethylene Terephthalates
Prosthesis Design
Treatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22791008