Related Experiment Videos
[Wrapping operation for Stanford type A acute dissecting aneurysms].
Y Fukumura1, Y Katoaka, Y Nakai
1Department of Cardiology, Komatsushima Red Cross Hospital.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 1, 1991
Summary
This study introduces the "wrapping operation" for acute aortic dissection. This surgical technique shows promise for treating ruptured Stanford type A aortic dissections, with positive outcomes in most patients.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Context:
- Stanford type A acute aortic dissection is a life-threatening condition.
- Ruptured ascending aorta presents significant surgical challenges.
- Cardiac tamponade necessitates emergent surgical intervention.
Purpose:
- To evaluate the efficacy of the
- wrapping operation
- in treating Stanford type A acute aortic dissection with rupture and cardiac tamponade.
Summary:
- Four patients with Stanford type A acute aortic dissection underwent the
- wrapping operation
- , involving aortic wrapping with Dacron grafts.
- Emergent surgeries were performed due to cardiac tamponade.
- Three patients survived long-term (17-39 months), with two demonstrating aortic entry closure postoperatively. One patient experienced early mortality due to disseminated intravascular coagulation and multiple organ failure.
Impact:
- The
- wrapping operation
- appears to be a useful technique for managing ruptured Stanford type A acute aortic dissections.
- This approach may offer a viable treatment option for complex aortic emergencies.
- Postoperative aortography confirmed the closure of the ascending aorta entry in some cases, suggesting successful repair.