Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Urgent operation for acute transverse aortic arch dissection.

S L Lansman1, S Raissi, M A Ergin

  • 1Division of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, N.Y. 10029.

The Journal of Thoracic and Cardiovascular Surgery
|March 1, 1989
PubMed
Summary

This study shows emergency aortic arch resection for acute type A dissection is feasible. This approach, involving hypothermia and circulatory arrest, achieved acceptable outcomes in a 9-year experience.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Patient satisfaction with occlusal scheme of conventional complete dentures: A randomised clinical trial (Part II).

Journal of oral rehabilitation·2018
Same author

[The staged approach--an overview on a strategy to reduce spinal cord injury in thoracoabdominal aortic aneurysm repair].

Zentralblatt fur Chirurgie·2013
Same author

Mathematical model for describing cerebral oxygen desaturation in patients undergoing deep hypothermic circulatory arrest.

British journal of anaesthesia·2009
Same author

Improved survival with statins, angiotensin receptor blockers, and steroid weaning after heart transplantation.

Transplantation proceedings·2006
Same author

Refractory humoral cardiac allograft rejection successfully treated with a single dose of rituximab.

Transplantation proceedings·2005
Same author

Can initial tacrolimus trough levels be predicted from clinical variables?

Transplantation proceedings·2004

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Aortic Surgery

Background:

  • Acute type A aortic dissection management is established, but treatment for transverse aortic arch involvement remains less defined.
  • Surgical intervention is often limited to the ascending aorta, even with primary tears in the arch.
  • Transverse aortic arch involvement occurs in approximately 15% of acute aortic dissections.

Purpose of the Study:

  • To report a 9-year surgical experience with a policy of emergency resection for all acute aortic dissections involving the aortic arch.
  • To evaluate the outcomes of this aggressive surgical strategy.

Main Methods:

  • Patients received intensive "anti-impulse" therapy and aortic angiograms.
  • Type A dissections were resected under moderate hypothermia.

Related Experiment Videos

  • Arch exploration and replacement were performed during deep hypothermia and circulatory arrest when necessary, with adjuncts like ice packing, steroids, and barbiturate coma.

    • Main Results:

    • Sixteen acute and three subacute transverse arch dissections were treated.
    • The overall hospital mortality rate was 21% (four deaths).
    • Mortality was associated with complex cases, including coronary dissection and neurological complications.

    Conclusions:

    • Emergency resection for acute aortic dissections involving the aortic arch is a viable surgical approach.
    • The described technique, utilizing hypothermia and circulatory arrest, can be safely applied.
    • Outcomes are influenced by the extent of disease and patient comorbidities.