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  • Title: Application of open triple-branched aortic arch stent graft for acute Stanford type A aortic dissection.
    Author: Hua F, Shen Z, Yu Y, Ye W, Huang H.
    Journal: Vasc Endovascular Surg; 2013 Feb; 47(2):109-14. PubMed ID: 23322718.
    Abstract:
    OBJECTIVE: Complete documentation is provided outlining a process for surgical treatment of the ascending aorta using open triple-branched aortic arch stent grafts to treat acute Stanford type A aortic dissection based on clinical observations. METHODS: A total of 34 patients underwent replacement of the ascending aorta or aortic root in combination with open placement of a triple-branched stent graft. RESULTS: Mean cardiopulmonary bypass, mean myocardial ischemic, and selective cerebral perfusion times were 186 ± 38, 101 ± 27, and 39 ± 11 minutes, respectively. Two deaths occurred during hospitalization. Of the remaining patients, postoperative computed tomography angiography confirmed that all implanted stent grafts were fully opened; however, the dissected aorta and false lumen size showed evidence of reduced thickness. CONCLUSIONS: This applies mainly to those who need extensive surgical reconstruction of the thoracic aorta with acute Stanford type A aortic dissection, and it can reduce cardiopulmonary bypass complexities of the traditional surgeries and potential complication.
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