Mini access valve-sparing aortic root and total arch replacement and stented graft implantation in acute DeBakey type I aortic dissection / Cangsong Xiao, Yang Wu, Weihua Ye.

Format:

Video

Author/Creator:

Xiao, Cangsong, author, speaker.

Contributor:

Springer Nature (Firm), film distributor.

Springer (Firm), production company.

Series:

Academic Video Online

Language:

English

Subjects (All):

Aorta--Surgery--Case studies.

Aorta.

Arterial grafts--Case studies.

Arterial grafts.

Dissecting aortic aneurysms--Case studies.

Dissecting aortic aneurysms.

Genre:

Instructional films.

Case studies.

Physical Description:

1 online resource (14 minutes)

Place of Publication:

Berlin, Germany : Springer Nature, 2019.

Language Note:

In English.

System Details:

video file

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 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.

Participant:

Presenter: Cangsong Xiao.

Notes:

Title from resource description page (viewed March 16, 2020).

OCLC:

1150048415