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

[Total aortic arch replacement for distal aortic arch aneurysms]

Y Kikuchi1, T Sakurada, S Nakajima

  • 1Section of Cardiothoracic Surgery, National Obihiro Hospital, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|February 10, 1998
PubMed
Summary

Total aortic arch replacement is an acceptable procedure for distal aortic arch aneurysms. This technique, utilizing antegrade ascending aortic perfusion, effectively avoids thromboembolic complications.

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

[Surgical results of a video-assisted lung resection for lung cancer; does surgical approach affect patient's satisfaction of surgery?].

Kyobu geka. The Japanese journal of thoracic surgery·2009
Same author

[Comparison of postoperative lung function between segmentectomy and lobectomy in patients with lung carcinoma].

Kyobu geka. The Japanese journal of thoracic surgery·2005
Same author

[Pulmonary metastasis from colorectal cancer with hepatic metastasis].

Kyobu geka. The Japanese journal of thoracic surgery·2005
Same author

[Lung cancer in patients with idiopathic interstitial pneumonia].

Kyobu geka. The Japanese journal of thoracic surgery·2005
Same author

[Bronchioloalveolar carcinoma illustrating difficulties in diagnosis and determination of operative management; report of a case].

Kyobu geka. The Japanese journal of thoracic surgery·2004
Same author

[Induction chemotherapy and radical resection for primary nonseminomatous mediastinal germ cell tumor (NSGCT); report of a case].

Kyobu geka. The Japanese journal of thoracic surgery·2004

Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Thoracic Surgery

Context:

  • Distal aortic arch aneurysms pose significant surgical challenges.
  • Traditional surgical approaches carry risks of complications.
  • Advancements in surgical techniques are crucial for improving outcomes.

Purpose:

  • To evaluate the efficacy and safety of total aortic arch replacement for distal aortic arch aneurysms.
  • To assess the utility of antegrade ascending aortic perfusion in this procedure.
  • To report outcomes including mortality and cerebral complications.

Summary:

  • 13 patients underwent total aortic arch replacement using a four-limbed artificial graft.
  • The procedure involved median sternotomy, cardiopulmonary bypass, selective cerebral perfusion, and open distal anastomosis.

Related Experiment Videos

  • Mortality was 16% (2 patients), primarily in those with ruptured aneurysms and preoperative shock. No severe cerebral complications occurred.

    • Impact:

    • Total aortic arch replacement is a viable and acceptable surgical option for distal aortic arch aneurysms.
    • Antegrade ascending aortic perfusion is a beneficial method to prevent thromboembolic events associated with retrograde perfusion.
    • The study highlights the importance of surgical technique in managing complex aortic pathologies.