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Mini access valve-sparing aortic root and total arch replacement and stented graft implantation in acute DeBakey type I aortic dissection Preview this item
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Mini access valve-sparing aortic root and total arch replacement and stented graft implantation in acute DeBakey type I aortic dissection

Author: Cangsong Xiao; Springer Nature (Firm),; Springer (Firm),
Publisher: Berlin, Germany : Springer, 2019.
Edition/Format:   eVideo : Clipart/images/graphics : English
Summary:
This video starts with an explanation of preoperative assessment, anesthetic management, and surgical preparation. Key steps of the procedure are precisely illustrated. In a patient with emergent aortic dissection, an emergent valve-sparing procedure combined with total arch replacement and a stent graft implanted is presented with detailed interpretation. The video aims to familiarize the practitioners with the  Read more...
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Details

Genre/Form: Case studies
Instructional films
Additional Physical Format: DVD version:
Material Type: Clipart/images/graphics, Internet resource, Videorecording
Document Type: Internet Resource, Computer File, Visual material
All Authors / Contributors: Cangsong Xiao; Springer Nature (Firm),; Springer (Firm),
OCLC Number: 1150048415
Language Note: In English.
Notes: Title from resource description page (viewed March 16, 2020).
Performer(s): Presenter: Cangsong Xiao.
Description: 1 online resource (14 minutes)
Responsibility: Cangsong Xiao, Yang Wu, Weihua Ye.

Abstract:

This video starts with an explanation of preoperative assessment, anesthetic management, and surgical preparation. Key steps of the procedure are precisely illustrated. In a patient with emergent aortic dissection, an emergent valve-sparing procedure combined with total arch replacement and a stent graft implanted is presented with detailed interpretation. The video aims to familiarize the practitioners with the whole process, thereby increasing confidence of surgical success.There is a significant morbidity and mortality risk on surgical treatment of aneurysms and dissections involving the aortic arch and the descending aorta. For patients with DeBakey type I aortic dissections involving the aortic arch, there has been a focus of debate among cardiovascular surgeons on whether to perform a hemiarch replacement or total arch reconstruction. This video presents a 32-year-old male patient diagnosed with DeBakey type I dissection involving innominate and axillary artery. The surgical plan includes upper hemi-sternotomy and cardiopulmonary bypass set-up, "arch first' reconstruction with a four-branched-graft (Vascutek), aortic root mobilization and sub-annulus suture placement, re-implantation aortic valve-sparing procedure and stented graft implantation into descending aorta and anastomosis. A 28MM four-branched-graft was used for total arch replacement. 'Arch first' reconstruction was performed by sequential anastomosis of the three arch vessels with the branched-graft. Post-operative imaging showed a normal aortic root and arch.

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