A new approach for proximal anastomosis in type "A" acute aortic dissection: prosthesis eversion.
One of the crucial aspects of surgical repair of type A aortic dissection is to achieve hemostasis of the anastomosis. Furthermore, the possibility of improving the suture with additional stitches is often technically demanding. We, therefore, describe a new surgical technique for the proximal anastomosis, positioning the prosthesis within the left ventricle. We present our series of 6 patients treated with this new technique. The immediate results confirmed the efficacy, speed, and simplicity of the technique. During long-term follow-up no patient showed significant residual aortic valve incompetence.
Rignano
Andrea
A
Department of Vascular Surgery, Ospedale S. Carlo Borromeo, University of Milan, Milan, Italy.
Keller
Guido C
GC
Carmo
Michele
M
Anguissola
Giovanni B
GB
Settembrini
Piergiorgio G
PG
D000208:Acute Disease; D000714:Anastomosis, Surgical / Q000379:methods; D000784:Aortic Dissection / Q000145:classification / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000145:classification / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006801:Humans