A novel 3 step approach with extensive electrocautery septotomy in the treatment of extensive aortic dissection aneurysms
Sprache des Titels:
Englisch
Original Kurzfassung:
Classical treatment of acute aortic dissection
typ A with replacement of the ascending aorta often in com
bination with an open distal anastomosis, does not eliminate
all dissected aortic segments. Due to a persistent false lumen
perfusion, patients develop post-dissection aneurysms making
subsequent aortic reintervention necessary. Treatment of post
dissection aortic arch and thoracoabdominal aortic pathologies
represent significant therapeutic challenges. True lumen col
lapse or take-off of aortic branches from the false lumen may
limit endovascular options. Whereas open thoraco-abdominal
replacement remains a highest risk surgery. We present herein
our initial clinical results of a 3 step approach to treat thoraco
abdominal post-dissection aneurysm with electrocautery sep
totomy of the dissection membrane.
Sprache der Kurzfassung:
Englisch
Journal:
Wiener klinische Wochenschrift - The Central European Journal of Medicine
Forschungs-