title: Modified sandwich technique for acute aortic dissection.
abstract: We describe a new method for aortic anastomosis in the repair of acute type A aortic dissection. The anastomosis site is prepared with the adventitial inversion technique, which converts a dissected aorta into a conduit lined with tough adventitia. The end is reinforced with felt strip outside and anastomosed with interrupted everting mattress and running sutures, resulting in complete hemostasis. This modified sandwich technique will likely be useful for the surgical treatment of acute aortic dissection.
authors.affiliation: Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1 Mukogawa, Nishinomiya, Hyogo 663-8501, Japan.
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Ohata
authors.forename: Yuji
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Masataka
authors.initials: M
authors.lastname: Mitsuno
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Yamamura
authors.forename: Hiroe
authors.initials: H
authors.lastname: Tanaka
authors.forename: Masaaki
authors.initials: M
authors.lastname: Ryomoto
mesh_terms: D000208:Acute Disease; D000714:Anastomosis, Surgical; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000517:prevention & control; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D003238:Connective Tissue / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D019106:Postoperative Hemorrhage / Q000209:etiology / Q000517:prevention & control; D011474:Prosthesis Design; D013536:Suture Techniques; D016896:Treatment Outcome