Arch-first technique used with commercial T-graft: To treat subacute type-A aortic dissection in patient with Marfan syndrome

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dc.contributor.authorApaydin A.Z.
dc.contributor.authorPosacioglu H.
dc.contributor.authorYagdi T.
dc.contributor.authorIslamoglu F.
dc.contributor.authorCalkavur T.
dc.contributor.authorBuket S.
dc.date.accessioned2019-10-27T00:24:20Z
dc.date.available2019-10-27T00:24:20Z
dc.date.issued2002
dc.departmentEge Üniversitesien_US
dc.description.abstractStaged repair of extensive thoracic aortic aneurysms puts certain patients at risk of rupture. We report the case of a patient with Marfan syndrome who presented with subacute type-A aortic dissection and a large descending aortic aneurysm. We used the arch-first technique with a commercially available Dacron T-graft. A clamshell incision was used for exposure. A button of arch vessels was anastomosed to the T-graft. Antegrade cerebral perfusion was established through the side branch. The distal end of the graft was anastomosed to the descending aorta and the proximal end to a composite graft. The duration of cerebral ischemia was 30 minutes; antegrade cerebral perfusion lasted 52 minutes. The patient experienced no neurologic dysfunction and was discharged with no major deficit. This technique shortens brain-ischemia time and is a good option if the risk of rupture of the descending component of an extensive thoracic aortic aneurysm is high. To the best of our knowledge, this is the 1st reported case in which the arch-first technique has been used with a commercially available T-graft to treat subacute type-A aortic dissection in a patient with Marfan syndrome.en_US
dc.identifier.endpage29en_US
dc.identifier.issn0730-2347
dc.identifier.issue1en_US
dc.identifier.pmid11995844en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage26en_US
dc.identifier.urihttps://hdl.handle.net/11454/23044
dc.identifier.volume29en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofTexas Heart Institute Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAneurysm, dissecting/surgeryen_US
dc.subjectAorta, thoracic/surgeryen_US
dc.subjectAortic aneurysm/surgeryen_US
dc.subjectBlood vessel prosthesis implantation/methodsen_US
dc.subjectBrain ischemia/prevention & controlen_US
dc.subjectCase reporten_US
dc.subjectFemaleen_US
dc.subjectMarfan syndrome/complicationsen_US
dc.subjectMethodsen_US
dc.titleArch-first technique used with commercial T-graft: To treat subacute type-A aortic dissection in patient with Marfan syndromeen_US
dc.typeArticleen_US

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