JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Imran Saeed
Marjan Jahangiri
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Saeed, I.
Right arrow Articles by Jahangiri, M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Saeed, I.
Right arrow Articles by Jahangiri, M.
Related Collections
Right arrow Cardiac - physiology
Right arrow Cardiac - other
Right arrow Great vessels

J Thorac Cardiovasc Surg 2008;135:1390-1392
© 2008 The American Association for Thoracic Surgery

Brief Communication

Open stent grafting of descending aorta to control suture line hemorrhage in type B dissection

Imran Saeed, MRCS, Athanasios Tsiouris, MRCS, Tahir Ali, MRCS, Jean-Pierre van Besouw, FRCA, Matt Thompson, FRCS, Marjan Jahangiri, FRCS*

Departments of Cardiothoracic and Vascular Surgery, St George's Hospital, London, United Kingdom

Received for publication December 17, 2007; revisions received January 23, 2008; accepted for publication February 2, 2008.

* Address for reprints: Marjan Jahangiri, FRCS, Department of Cardiac Surgery, St George's Hospital Medical School, Blackshaw Rd, London SW17 0QT, United Kingdom. (Email: marjan.jahangiri@stgeorges.nhs.uk).

The first 20% of the full text of this article appears below.

Stent graft placement under direct vision has previously been described during surgical repair of type A aortic dissection to manage further entry flaps or dissection of the descending aorta.1,2Go In these series, stents are deployed in an antegrade fashion with the aim of inducing thrombosis of the false lumen and pre-empting possible future complications that may arise from residual type B dissection. Kubota, Endo, and Sudo3Go have described techniques to facilitate the insertion of stents in this manner and make it safer.

We describe the use of retrograde open stent graft placement as a rescue procedure to control significant suture line hemorrhage after open repair of a descending aortic dissection.

Clinical Summary

A 29-year-old man with Marfan syndrome who had undergone aortic root replacement with a Freestyle prosthesis (Medtronic, Inc, Minneapolis, Minn) and only proximal aortic replacement 2 years previously at another hospital arrived at our emergency department with right hypochondrial pain. Computed tomographic (CT) scans showed a 9-cm infrarenal abdominal aortic aneurysm (AAA) and a 5-cm descending thoracic aorta.

. . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2008 by The American Association for Thoracic Surgery.