title: Wrapping procedure for stanford type a acute aortic dissection: is there an indication for surgery without a cardiopulmonary bypass?
abstract: A wrapping procedure for acute type A aortic dissection was performed on six elderly patients at high risk for conventional surgery. Aortic valve insufficiency was mild, with no malperfusion syndrome. A Teflon plaque or Dacron vascular prosthesis was passed around the aorta and tightened from the coronary ostia to the innominate artery. No severe neurologic complications or deaths occurred in the postoperative period. Computed tomography and magnetic resonance imaging imaging during follow-up showed aortic diameters had stabilized in all patients.
authors.affiliation: Heart Institute Arnault Tzanck, Saint Laurent du Var, Nice, France. steflopez1@yahoo.fr
authors.forename: Stéphane
authors.initials: S
authors.lastname: Lopez
authors.forename: Daniel
authors.initials: D
authors.lastname: Roux
authors.forename: Alexandre
authors.initials: A
authors.lastname: Cazavet
authors.forename: Michel
authors.initials: M
authors.lastname: Tapia
authors.forename: Jacques
authors.initials: J
authors.lastname: Teboul
authors.forename: Bertrand
authors.initials: B
authors.lastname: Leobon
authors.forename: Yves
authors.initials: Y
authors.lastname: Glock
mesh_terms: D000208:Acute Disease; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D002315:Cardiopulmonary Bypass; D015150:Echocardiography, Doppler / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D016330:Frail Elderly; D006801:Humans; D007902:Length of Stay; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D011093:Polyethylene Terephthalates; D018570:Risk Assessment; D012494:Sampling Studies; D056346:Sternotomy / Q000379:methods; D015996:Survival Rate; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
chemical_list: D011093:Polyethylene Terephthalates