“Millefeuille Technique” by Using Excised Intimal Layers in Repair of Type A Aortic Dissection - 03/11/21
, Kei Yagami, MD, PhD b, Takashi Fujita, MD b, Shinichi Ishida, MD b, Akihiko Usui, MD, PhD aAbstract |
Surgical outcomes for acute Type A aortic dissection (AAD) have dramatically improved in recent years due to prompt diagnosis, improved surgical technique and perioperative management. A single needle hole can become a new entry point in AAD cases with such a fragile wall, so a mixed technique using minimal surgical stitches and glue is required for a good outcome. The ‘Millefeuille’ technique involves multiple layers with a prosthetic graft, intimal layer, additionally inserted surplus intimal layer with BioGlue, adventitial layer, and felt. This technique may help to prevent needle hole re-entry.
Le texte complet de cet article est disponible en PDF.Keywords : Type A aortic dissection, Haemostasis
Plan
Vol 30 - N° 12
P. 1938-1941 - décembre 2021 Retour au numéro
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