Utility of Proximal Stepwise Technique for Acute Aortic Dissection Involving the Aortic Root

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• 作者：Yosuke Inoue ; MD ; Kenji Minatoya ; MD ; PhD ; ^{minatoya@ncvc.go.jp" class="auth_mail" title="E-mail the corresponding author} ; Tatsuya Itonaga ; MD ; Tatsuya Oda ; MD ; Yoshimasa Seike ; MD ; Hiroshi Tanaka ; MD ; PhD ; Hiroaki Sasaki ; MD ; PhD ; Junjiro Kobayashi ; MD ; PhD
• 刊名：The Annals of Thoracic Surgery
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：101
• 期：5
• 页码：e183-e185
• 全文大小：859 K

文摘

Proximal anastomosis is an important operative procedure in type A acute aortic dissection. We report our experience with the proximal stepwise technique, which is widely used during distal anastomosis in total arch replacement, in a series of 53 patients. We treated 53 patients for aortic dissection using this technique in our center. There were no bleeding adverse events during the operations and no early death caused by bleeding. This hemostatic technique was simple to use and demonstrated excellent early and midterm operative results.