Total Aortic Arch Reconstruction With Triple-Branched Stent Graft or Hemiarch Replacement for Acute Debakey Type I Aortic Dissection: Five-Years Experience With 93 Patients

摘要: Objective We compared the outcomes of a new triple-branched stent graft reconstruction technique total aortic arch with those conventional strategy replacing hemiarch during surgical treatment acute Debakey type I dissection over five years. Methods Fifty-two patients underwent ascending aorta replacement combined from June 2008 to February 2010. Concurrently, 41 cases replacement. Both groups received hypothermic cardiopulmonary bypass and selective cerebral perfusion. Results Patient characteristics in-hospital mortality two were similar. Postoperative data not different between groups. During years after surgery, there no deaths in group three group. The late reinterventions/events follow-up significantly less than On postoperative computed tomography, diameter both was reduced diameter. There difference one month postoperatively group, although greater at postoperatively. Conclusion The is an effective simplified procedure for dissection. doi: 10.1111/jocs.12608 (J Card Surg 2015;30:749–755)