Two-step aortic cross-clamping technique for acute type-a aortic dissection in octogenarians.
In octogenarians, due to the high mortality and morbidity, acute type-A aortic dissection requires a less invasive surgical approach. We describe a method in which replacement of the ascending aorta and stenting of the dissected arch are performed with mild hypothermic extracorporeal circulation.
Amico
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A
Cardiac Surgery, Anthea Hospital, Bari, Italy. alessioamico@tiscali.it
Caprili
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L
Carbone
C
C
D000208:Acute Disease; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000145:classification / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods; D003250:Constriction; D005112:Extracorporeal Circulation / Q000295:instrumentation* / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D015607:Stents; D016896:Treatment Outcome