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126 * extra-anatomic revascularisation for distal occlusion of the left or right common carotid artery in acute type a aortic dissection with cerebral malperfusion
Conclusion: Extra-anatomic bypass for distal LCCA or RCCA occlusion presents a valuable bail-out technique to restore cerebral perfusion during AADA repair, potentially reducing the increased incidence of neurological complications in patients with cerebral malperfusion.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Luehr, M., Etz, C. D., Lehmkuhl, L., Misfeld, M., Bakhtiary, F., Borger, M., Mohr, F. Tags: Complicated type A aortic dissection: Malperfusion and outcome Source Type: research

Extra-anatomic revascularization for preoperative cerebral malperfusion due to distal carotid artery occlusion in acute type A aortic dissection AORTIC SURGERY
CONCLUSION Extra-anatomic bypass for LCCA or RCCA occlusion allows for early selective cerebral perfusion during AADA repair, and may reduce the risk of neurological complications in patients with preoperative cerebral malperfusion.
Source: European Journal of Cardio-Thoracic Surgery - January 13, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Luehr, M., Etz, C. D., Nozdrzykowski, M., Lehmkuhl, L., Misfeld, M., Bakhtiary, F., Borger, M. A., Mohr, F.-W. Tags: Great vessels AORTIC SURGERY Source Type: research

Open Thoracic and Thoraco-abdominal Aortic Repair in Patients with Connective Tissue Disease.
CONCLUSION: Open TAA(A) repair is a durable therapy for patients with CTD. Often being performed as revision surgery, it can be associated with relevant risks and should therefore be reserved for specialised centres. Staged procedures and thus reducing operating time, if applicable, should be preferred. PMID: 28916127 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 12, 2017 Category: Surgery Authors: Keschenau PR, Kotelis D, Bisschop J, Barbati ME, Grommes J, Mees B, Gombert A, Peppelenbosch AG, Schurink GWH, Kalder J, Jacobs MJ Tags: Eur J Vasc Endovasc Surg Source Type: research

Open Repair of Acute Type A Intramural Hematoma in 3 Patients.
Abstract Acute aortic syndrome encompasses classic aortic dissection and less common aortic phenomena, including intramural hematoma (IMH), a hemorrhage within the aortic media that occurs without a discrete intimal tear. We reviewed our experience with treating acute type A IMH to better understand this acute aortic syndrome. A review of our clinical database identified 1,902 proximal aortic repairs that were performed from January 2006 through December 2018; of these, 266 were for acute aortic syndrome, including 3 (1.1%) for acute type A IMH. Operative technique varied considerably. All IMH repairs involved hem...
Source: Texas Heart Institute Journal - August 1, 2020 Category: Cardiology Authors: Frankel WC, Weldon SA, Green SY, Amarasekara HS, LeMaire SA, Coselli JS Tags: Tex Heart Inst J Source Type: research

Open Repair of Acute Type A Intramural Hematoma in 3 Patients
Tex Heart Inst J. 2020 Aug 1;47(4):290-297. doi: 10.14503/THIJ-20-7242.ABSTRACTAcute aortic syndrome encompasses classic aortic dissection and less common aortic phenomena, including intramural hematoma (IMH), a hemorrhage within the aortic media that occurs without a discrete intimal tear. We reviewed our experience with treating acute type A IMH to better understand this acute aortic syndrome. A review of our clinical database identified 1,902 proximal aortic repairs that were performed from January 2006 through December 2018; of these, 266 were for acute aortic syndrome, including 3 (1.1%) for acute type A IMH. Operativ...
Source: Texas Heart Institute Journal - January 20, 2021 Category: Cardiology Authors: William C Frankel Scott A Weldon Susan Y Green Hiruni S Amarasekara Scott A LeMaire Joseph S Coselli Source Type: research

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