HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Carpentier, A. Articles by Dubost, C. Search for Related Content PubMed PubMed Citation Articles by Carpentier, A. Articles by Dubost, C.

The Journal of Thoracic and Cardiovascular Surgery, Vol 81, 659-668, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

New surgical approach to aortic dissection: flow reversal and thromboexclusion

A Carpentier, A Deloche, JN Fabiani, S Chauvaud, J Relland, R Nottin, P Vouhe, H Massoud and C Dubost

With the aim of decreasing the complications and mortality associated with the current techniques for aortic dissections, we have developed an operation which consists of bypassing the dissected aorta and creating flow reversal in the dissected segment. Seven patients with either acute (five) or chronic aortic dissections (two) were operated upon successfully, with no early or late deaths. Three transient postoperative complications were encountered: low cardiac output, hemiparesis, and renal insufficiency. Postoperative arteriography was performed in five patients and demonstrated exclusion of the dissected lesions by thrombosis following flow reversal in the descending aorta. Follow-up is available from 2 to 28 months (average 13 months), with no long-term complications.

This article has been cited by other articles:

				H. Matsuda, A. Zaima, Y. Hino, and Y. Okita Thoracic aneurysm expansion secondary to collateral supplies via thyrocervical trunk and intercostal arteries in a patient after thromboexclusion Eur. J. Cardiothorac. Surg., April 1, 2004; 25(4): 658 - 660. [Abstract] [Full Text] [PDF]

				S. Morita, T. Asou, I. Kuboyama, Y. Harasawa, K. Sunagawa, and H. Yasui Inelastic vascular prosthesis for proximal aorta increases pulsatile arterial load and causes left ventricular hypertrophy in dogs J. Thorac. Cardiovasc. Surg., October 1, 2002; 124(4): 768 - 774. [Abstract] [Full Text] [PDF]

				V. Rampoldi, S. Trimarchi, V. Tolva, and P. Righini Proximal pseudoaneurysm of ascending-abdominal aortic bypass Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 531 - 533. [Abstract] [Full Text] [PDF]

				J. A. Elefteriades, C. J. Lovoulos, M. A. Coady, G. Tellides, G. S. Kopf, and J. A. Rizzo Management of descending aortic dissection Ann. Thorac. Surg., June 1, 1999; 67(6): 2002 - 2005. [Abstract] [Full Text] [PDF]

				U. Niederhauser, Z. Kaplan, A. Kunzli, M. Genoni, G. Zund, M. L. Lachat, P. R. Vogt, and M. I. Turina Disadvantages of local repair in acute type A aortic dissection Ann. Thorac. Surg., November 1, 1998; 66(5): 1592 - 1599. [Abstract] [Full Text] [PDF]

				K. Ku, K. Nakayama, Y. Saitoh, S. Nosaka, T. Kitano, T. Hanada, H. Nagami, K. Yamada, and K. Minami Long-Term Follow-up (8 to 17 Years) After Thromboexclusion Operation for Thoracic Aortic Aneurysms Ann. Thorac. Surg., August 1, 1997; 64(2): 399 - 403. [Abstract] [Full Text]

				H. Urayama, H. Ohtake, and Y. Watanabe Long-Term Results of Flow Reversal and Thromboexclusion Method for Thoracic Aortic Aneurysm Ann. Thorac. Surg., March 1, 1997; 63(3): 716 - 720. [Abstract] [Full Text]

				K. Kusuhara, S. Shiraishi, and A. Iwakura A new staged operation for extensive aortic aneurysm by means of the modified "elephant trunk" technique J. Thorac. Cardiovasc. Surg., July 1, 1995; 110(1): 267 - 269. [Full Text]

				M. Kitamura, A. Hashimoto, O. Tagusari, T. Akimoto, S. Aomi, and H. Koyanagi Operation for Type B Aortic Dissection: Introduction of Left Heart Bypass Ann. Thorac. Surg., May 1, 1995; 59(5): 1200 - 1203. [Abstract] [Full Text]

				J. E. Bachet, J.-L. Termignon, G. Dreyfus, B. Goudot, L. Martinelli, A. Piquois, D. Brodaty, C. Dubois, P. Delentdecker, and D. Guilmet Aortic dissectionPrevalence, cause, and results of late reoperations J. Thorac. Cardiovasc. Surg., August 1, 1994; 108(2): 199 - 206. [Abstract] [Full Text]

				H. Y. Karagoz, Y. Zorlutuna, K. Babacan, T. Keceligil, O. Tasdemir, C. Yakut, and K. Bayazit Graft Replacement of Ascending Aortic Aneurysms. Surgical Results in 84 Consecutive Patients Vascular and Endovascular Surgery, July 1, 1991; 25(6): 452 - 459. [Abstract] [PDF]