Novel hybrid management for aortic dissection with crevasse in the vicinity of critical branching: report of 53 cases

Acta Cardiol. 2014 Jun;69(3):261-4. doi: 10.1080/ac.69.3.3027828.

Abstract

Open surgery for aortic dissection with crevasse in the vicinity of critical branching (CVCB-AD) is frequently associated with several complications and a high mortality rate. We report the management of 53 patients with CVCB-AD who underwent a novel hybrid procedure including both open surgery and endovascular stenting. During the follow-up period no paraplegia, stroke, renal failure, or bleeding was observed, and no elective or emergency surgical conversion was required, suggesting that this hybrid procedure is a feasible, safe, and effective strategy for the treatment of CVCB-AD.

MeSH terms

  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / physiopathology
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic* / diagnostic imaging
  • Aortic Aneurysm, Thoracic* / physiopathology
  • Aortic Aneurysm, Thoracic* / surgery
  • Aortic Dissection* / diagnostic imaging
  • Aortic Dissection* / physiopathology
  • Aortic Dissection* / surgery
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Blood Vessel Prosthesis Implantation* / methods
  • China
  • Comparative Effectiveness Research
  • Endovascular Procedures* / adverse effects
  • Endovascular Procedures* / methods
  • Female
  • Humans
  • Intraoperative Care / methods
  • Length of Stay
  • Male
  • Middle Aged
  • Postoperative Complications* / classification
  • Postoperative Complications* / physiopathology
  • Postoperative Complications* / prevention & control
  • Treatment Outcome
  • Vascular Grafting* / adverse effects
  • Vascular Grafting* / methods