Customized Transapical Thoracic Endovascular Repair for Acute Type A Dissection

被引：23

作者：

Koelbel, Tilo ^{[1
]}

Reiter, Beate

Schirmer, Johannes

Wipper, Sabine

Detter, Christian

Debus, Eike Sebastian

Reichenspurner, Herrmann

机构：

[1] Univ Hosp Eppendorf, Univ Heart Ctr, Dept Vasc Med, D-20246 Hamburg, Germany

来源：

ANNALS OF THORACIC SURGERY | 2013年 / 95卷 / 02期

关键词：

AORTIC DISSECTION; OUTCOMES; ANEURYSM;

D O I：

10.1016/j.athoracsur.2012.06.055

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 67-year-old patient with severe comorbidities and acute type A aortic dissection with pericardial tamponade was treated with an endograft introduced through a mini-thoracotomy and puncture of the left ventricular apex. Final angiography showed complete coverage of the dissection. Early and 6-month follow-up computed tomography showed full apposition of the endograft without residual dissection. Transapical thoracic endovascular repair of acute type A aortic dissection appears to be feasible and is associated with minimal physiologic compromise. It may provide a less invasive alternative for patients with increased operative mortality. (Ann Thorac Surg 2013;95:694-6) (c) 2013 by The Society of Thoracic Surgeons

引用

页码：694 / 696

页数：3

共 8 条

[1] Outcomes of Acute Type A Aortic Dissection After Previous Cardiac Surgery [J].

Estrera, Anthony L. ;

Miller, Charles C. ;

Kaneko, Tsuyoshi ;

Lee, Taek-Yeon ;

Walkes, Jon-Cecil ;

Kaiser, Larry R. ;

Safi, Hazim J. .

ANNALS OF THORACIC SURGERY, 2010, 89 (05) :1467-1474

[2] Risk Analysis for Hospital Mortality in Patients With Acute Type A Aortic Dissection [J].

Goda, Motohiko ;

Imoto, Kiyotaka ;

Suzuki, Shinichi ;

Uchida, Keiji ;

Yanagi, Hiromasa ;

Yasuda, Shota ;

Masuda, Munetaka .

ANNALS OF THORACIC SURGERY, 2010, 90 (04) :1246-1250

[3] Superior nationwide outcomes of endovascular versus open repair for isolated descending thoracic aortic aneurysm in 11,669 patients [J].

Gopaldas, Raja R. ;

Huh, Joseph ;

Dao, Tam K. ;

LeMaire, Scott A. ;

Chu, Danny ;

Bakaeen, Faisal G. ;

Coselli, Joseph S. .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2010, 140 (05) :1001-1010

[4] Transapical access for thoracic endograft delivery [J].

Koelbel, Tilo ;

Treede, Hendrik ;

Carpenter, Sebastian William ;

Diener, Holger ;

Larena-Avellaneda, Axel ;

Debus, Eike Sebastian .

VASCULAR, 2011, 19 (06) :308-312

[5] Endovascular aortic aneurysm repair via the left ventricular apex of a beating heart [J].

MacDonald, Shaun ;

Cheung, Anson ;

Sidhu, Ravindar ;

Rheaume, Pascal ;

Grenon, S. Marlene ;

Clement, Jason .

JOURNAL OF VASCULAR SURGERY, 2009, 49 (03) :759-762

[6] Outcomes After Surgical Treatment for Type A Acute Aortic Dissection in Octogenarians: A Multicenter Study [J].

Piccardo, Alessandro ;

Regesta, Tommaso ;

Zannis, Konstantinos ;

Gariboldi, Vlad ;

Pansini, Stefano ;

Tapia, Michel ;

Concistre, Giovanni ;

Collart, Frederic ;

Kreitmann, Patrice ;

Kirsch, Matthias E. W. ;

Martinelli, Luigi ;

Passerone, Giancarlo ;

Caus, Thierry .

ANNALS OF THORACIC SURGERY, 2009, 88 (02) :491-497

[7] Endovascular Approaches to Acute Aortic Type A Dissection: A CT-Based Feasibility Study [J].

Sobocinski, J. ;

O'Brien, N. ;

Maurel, B. ;

Bartoli, M. ;

Goueffic, Y. ;

Sassard, T. ;

Midulla, M. ;

Koussa, M. ;

Vincentelli, A. ;

Haulon, S. .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2011, 42 (04) :442-447

[8] Transapical Deployment of Endovascular Thoracic Aortic Stent Graft for an Ascending Aortic Pseudoaneurysm [J].

Szeto, Wilson Y. ;

Moser, William G. ;

Desai, Nimesh D. ;

Milewski, Rita K. ;

Cheung, Albert T. ;

Pochettino, Alberto ;

Bavaria, Joseph E. .

ANNALS OF THORACIC SURGERY, 2010, 89 (02) :616-618

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