title: Repair of acute type A aortic dissections using open replacement with triple-branched stent grafts.
abstract: BACKGROUND
  Total arch replacement to treat type A aortic dissection is a complex procedure. To simplify the procedure, we used a triple-branched stent graft for total aortic arch replacement.
  
  
  METHODS
  Between February 2010 and June 2011, 27 patients (mean age, 52.7 ± 11.5 years), with acute type A aortic dissection underwent open surgical placement of a triple-branched stent graft for total arch reconstruction.
  
  
  RESULTS
  All patients were discharged from the hospital. Mean cardiopulmonary bypass time was 160.5 ± 25.2 minutes, aortic cross-clamp time was 85.5 ± 18.4 minutes, and lower body arrest time was 30.2 ± 11.8 minutes. The mean drainage after the operation was 560 ± 120 mL, and the mean blood transfusion was 500 ± 150 mL. The mean length of stay after surgery was 13.5 ± 3.2 days. The mean follow-up time was 19.3 ± 7.6 months (range, 18 to 33 months). Follow-up was 100%. Endoleaks occurred in 3 patients after the operation, and 1 of them died 9 months after the operation. Follow-up computed tomography scans at 3 months showed the elimination of a false lumen in 24 patients.
  
  
  CONCLUSIONS
  Using triple-branched stent grafts for total arch reconstruction in acute type A aortic dissections may be an effective technique to eliminate flow in the false lumen.
authors.affiliation: Department of Cardiothoracic Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Pan
authors.forename: Qing-Guo
authors.initials: QG
authors.lastname: Li
authors.forename: Qing
authors.initials: Q
authors.lastname: Zhou
authors.forename: Qiang
authors.initials: Q
authors.lastname: Wang
authors.forename: Zhong
authors.initials: Z
authors.lastname: Wu
authors.forename: Dong-Jin
authors.initials: DJ
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000145:classification / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000145:classification / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D012189:Retrospective Studies; D015607:Stents
keywords: 26