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Related Concept Videos

Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Concomitant Bentall operation plus aortic arch replacement surgery.

Han-Chin Tsai1, I-Ming Chen, Yuan-Chen Hsieh

  • 1Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Journal of the Chinese Medical Association : JCMA
|January 29, 2013
PubMed
Summary
This summary is machine-generated.

Concomitant Bentall operation plus aortic arch replacement (CoBAAR) is a complex surgery for extensive aortic disease. Despite challenges, this one-stage procedure offers satisfactory outcomes, potentially reducing reoperation needs.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Surgery

Background:

  • The Bentall operation addresses aortic root issues, but extensive lesions require concomitant Bentall operation plus aortic arch replacement (CoBAAR).
  • CoBAAR is technically demanding, involving complex cardiopulmonary procedures and prolonged bypass times, leading to high mortality and morbidity.
  • Performing CoBAAR as a single stage can prevent reoperations due to residual aneurysm progression.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of concomitant Bentall operation plus aortic arch replacement (CoBAAR).
  • To assess the safety and efficacy of this one-stage surgical approach for extensive aortic dissections and aneurysms.

Main Methods:

  • A retrospective review of nine patients who underwent CoBAAR between January 2005 and May 2010.
  • Patients had either Stanford type A aortic dissection or ascending aortic and arch aneurysm.
  • Procedures included Bentall operation with hemiarch or total arch replacement, with elephant trunk insertion in extensive cases.

Main Results:

  • In-hospital mortality was 11.1% (one patient).
  • Morbidity included stroke (2 patients), spinal cord injury (1 patient), prolonged ventilation (5 patients), and temporary dialysis (3 patients).
  • Eight out of nine patients survived the procedure.

Conclusions:

  • CoBAAR is a complex but achievable surgical technique for extensive ascending aortic dissection or aneurysm.
  • The procedure can yield satisfactory results despite its demanding nature and associated risks.