TY - JOUR
T1 - Aortoplasty for management of the dilated distal ascending aorta during proximal aortic reconstruction
AU - Amulraj, Emmanuel A.
AU - Kent, William D.T.
AU - Malaisrie, S. Chris
PY - 2013/10
Y1 - 2013/10
N2 - When aneurysms of the ascending aorta extend into the arch, the conventional approach is replacement with a Dacron graft, including a distal beveled hemiarch anastomosis with the patient under hypothermic circulatory arrest. For certain cases, we propose an alternative strategy combining replacement of the proximal and middle segments of the ascending aorta with external wrapping aortoplasty for the distal segment. This " turtleneck" aortoplasty achieves successful complete repair of the ascending aorta without the risks associated with circulatory arrest.
AB - When aneurysms of the ascending aorta extend into the arch, the conventional approach is replacement with a Dacron graft, including a distal beveled hemiarch anastomosis with the patient under hypothermic circulatory arrest. For certain cases, we propose an alternative strategy combining replacement of the proximal and middle segments of the ascending aorta with external wrapping aortoplasty for the distal segment. This " turtleneck" aortoplasty achieves successful complete repair of the ascending aorta without the risks associated with circulatory arrest.
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U2 - 10.1016/j.athoracsur.2013.04.089
DO - 10.1016/j.athoracsur.2013.04.089
M3 - Article
C2 - 24088478
AN - SCOPUS:84885236687
SN - 0003-4975
VL - 96
SP - 1499
EP - 1501
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 4
ER -