"Millefeuille Technique" by Using Excised Intimal Layers in Repair of Type A Aortic Dissection

被引：2

作者：

Mutsuga, Masato ^{[1
]}

Yagami, Kei ^{[2
]}

Fujita, Takashi ^{[2
]}

Ishida, Shinichi ^{[2
]}

Usui, Akihiko ^{[1
]}

机构：

[1] Nagoya Univ, Dept Cardiac Surg, Grad Sch Med, Nagoya, Aichi, Japan

[2] Gifu Prefectural Tajimi Hosp, Dept Cardiac Surg, Tajimi, Gifu, Japan

来源：

HEART LUNG AND CIRCULATION | 2021年 / 30卷 / 12期

关键词：

Type A aortic dissection; Haemostasis; ADVENTITIAL INVERSION TECHNIQUE;

D O I：

10.1016/j.hlc.2021.04.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Surgical outcomes for acute Type A aortic dissection (AAD) have dramatically improved in recent years due to prompt diagnosis, improved surgical technique and perioperative management. A single needle hole can become a new entry point in AAD cases with such a fragile wall, so a mixed technique using minimal surgical stitches and glue is required for a good outcome. The 'Millefeuille' technique involves multiple layers with a prosthetic graft, intimal layer, additionally inserted surplus intimal layer with BioGlue, adventitial layer, and felt. This technique may help to prevent needle hole re-entry.

引用

页码：1938 / 1941

页数：4

共 5 条

[1] ADVENTITIAL INVERSION TECHNIQUE IN REPAIR OF AORTIC DISSECTION [J].

FLOTEN, HS ;

RAVICHANDRAN, PS ;

FURNARY, AP ;

GATELY, HL ;

STARR, A .

ANNALS OF THORACIC SURGERY, 1995, 59 (03) :771-772

[2] Adventitial inversion technique for type A aortic dissection distal anastomosis [J].

Oda, Tatsuya ;

Minatoya, Kenji ;

Sasaki, Hiroaki ;

Tanaka, Hiroshi ;

Seike, Yoshimasa ;

Itonaga, Tatsuya ;

Inoue, Yosuke ;

Kobayashi, Junjiro .

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2016, 151 (05) :1340-1345

[3]

Ohata Toshihiro, 2007, Asian Cardiovasc Thorac Ann, V15, P261

[4]

Olsson Christian, 2017, Aorta (Stamford), V5, P117, DOI 10.12945/j.aorta.2017.17.045

[5] The use of surgical glue in acute type a aortic dissection [J].

Suzuki S. ;

Masuda M. ;

Imoto K. .

General Thoracic and Cardiovascular Surgery, 2014, 62 (4) :207-213

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