Aortoplasty for management of the dilated distal ascending aorta during proximal aortic reconstruction

Emmanuel A Amulraj; William D T Kent; S Chris Malaisrie

doi:10.1016/j.athoracsur.2013.04.089

Aortoplasty for management of the dilated distal ascending aorta during proximal aortic reconstruction

Ann Thorac Surg. 2013 Oct;96(4):1499-1501. doi: 10.1016/j.athoracsur.2013.04.089.

Authors

Emmanuel A Amulraj¹, William D T Kent¹, S Chris Malaisrie²

Affiliations

¹ Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern University, Chicago, Illinois.
² Division of Cardiac Surgery, Bluhm Cardiovascular Institute, Northwestern University, Chicago, Illinois. Electronic address: [email protected].

PMID: 24088478
DOI: 10.1016/j.athoracsur.2013.04.089

Abstract

When aneurysms of the ascending aorta extend into the arch, the conventional approach is replacement with a Dacron graft, including a distal beveled hemiarch anastomosis with the patient under hypothermic circulatory arrest. For certain cases, we propose an alternative strategy combining replacement of the proximal and middle segments of the ascending aorta with external wrapping aortoplasty for the distal segment. This "turtleneck" aortoplasty achieves successful complete repair of the ascending aorta without the risks associated with circulatory arrest.

Keywords: 26.

MeSH terms

Aorta / surgery*
Aortic Aneurysm, Thoracic / surgery*
Blood Vessel Prosthesis Implantation / methods
Blood Vessel Prosthesis*
Humans
Prosthesis Design
Vascular Surgical Procedures / methods