title: Management of Retrograde False Lumen Perfusion After Hybrid Arch Repair in Acute Aortic Dissection.
abstract: Patients with acute aortic dissections involving the arch and descending aorta can effectively be treated using the frozen elephant trunk technique. We describe here the novel technique of temporary banding of the descending aorta onto the stent of the hybrid graft in 3 patients who developed unmanageable bleeding from the distal suture line due to retrograde false lumen perfusion and disintegration of the adventitia. Retrograde false lumen perfusion was stopped and therefore bleeding controlled in all patients. Temporal aortic banding represents a novel, feasible, and effective bailout technique for otherwise unmanageable bleeding with fatal outcome in hybrid arch surgery.
authors.affiliation: Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Munich, Germany. Electronic address: alexey.dashkevich@med.uni-muenchen.de.
authors.forename: Alexey
authors.initials: A
authors.lastname: Dashkevich
authors.affiliation: Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Hagl
authors.affiliation: Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
authors.forename: Gerd
authors.initials: G
authors.lastname: Juchem
authors.affiliation: Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Luehr
authors.affiliation: Department of Cardiac Surgery, Ludwig-Maximilians-University Munich, Munich, Germany.
authors.forename: Maximilian A
authors.initials: MA
authors.lastname: Pichlmaier
mesh_terms: D000208:Acute Disease; D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015607:Stents