Utility of Proximal Stepwise Technique for Acute Aortic Dissection Involving the Aortic Root.
Proximal anastomosis is an important operative procedure in type A acute aortic dissection. We report our experience with the proximal stepwise technique, which is widely used during distal anastomosis in total arch replacement, in a series of 53 patients. We treated 53 patients for aortic dissection using this technique in our center. There were no bleeding adverse events during the operations and no early death caused by bleeding. This hemostatic technique was simple to use and demonstrated excellent early and midterm operative results.
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
Yosuke
Y
Inoue
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan. Electronic address: minatoya@ncvc.go.jp.
Kenji
K
Minatoya
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
Tatsuya
T
Itonaga
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
Tatsuya
T
Oda
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
Yoshimasa
Y
Seike
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
Hiroshi
H
Tanaka
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
Hiroaki
H
Sasaki
Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.
Junjiro
J
Kobayashi
D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods*; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged