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

Tactics and techniques of aortic arch replacement

H G Borst1, B Bühner, M Jurmann

  • 1Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Germany.

Journal of Cardiac Surgery
|September 1, 1994
PubMed
Summary

Surgical strategies for aortic arch lesions vary. For aneurysms, total or subtotal replacement is recommended. In acute dissections, avoid radical surgery, focusing instead on distal anastomosis beyond entry tears.

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

Erratum to: Inhibition of atrial fibrillation by pulmonary vein isolation and auricular resection-experimental study in a sheep model [Eur J Cardiothorac Surg 1997;11:714-21].

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery·2017
Same author

Alternatives to heart transplantation. Symposium of the "Treatment of End-stage Heart and Lung Failure" working group on October 22, 2005 in Munich.

The Thoracic and cardiovascular surgeon·2007
Same author

Bridging to transplantability with a ventricular assist device.

The Journal of thoracic and cardiovascular surgery·2005
Same author

Outpatients on biventricular assist devices.

The Thoracic and cardiovascular surgeon·2001
Same author

The history of coronary artery surgery -- a brief review.

The Thoracic and cardiovascular surgeon·2001
Same author

Aortic dissection.

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology·2000

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Aortic arch operations present challenges regarding the necessity and scope of aortic replacement.
  • 204 operations were analyzed, including aneurysms, chronic dissections, and acute dissections.

Purpose of the Study:

  • To describe surgical approaches for aortic arch lesions.
  • To evaluate cerebral protection, procedural choices, and operative techniques.
  • To provide recommendations for managing aortic arch aneurysms and dissections.

Main Methods:

  • Retrospective analysis of 204 aortic arch operations.
  • Comparison of arch anastomoses with and without supraaortic vessel re-insertion.
  • Assessment of cerebral protection strategies and operative techniques.

Related Experiment Videos

Main Results:

  • Arch anastomoses sparing supraaortic vessels had shorter circulatory arrest times (17.2 min) versus tubular replacement (33.7 min).
  • Lowest early death rates from cerebral complications were observed in acute dissections (3/14 fatalities).
  • Two patients with acute dissections had preoperative cerebral compromise.

Conclusions:

  • Subtotal or total arch replacement is recommended for aneurysms irrespective of etiology.
  • Radical arch surgery should be avoided in acute dissections when possible.
  • In acute dissections, exploration and creation of a distal anastomosis beyond entry tears are advised.