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Thorac Cardiovasc Surg 1986; 34(2): 88-91
DOI: 10.1055/s-2007-1020383
© Georg Thieme Verlag Stuttgart · New York

The Use of Intraluminal Prosthesis in the Surgical Management of Aortic Dissection

G. Rizzoli, G. Aru, A. Milano, C. Valfré, A. Mazzucco, M. Rubino, V. Gallucci
  • Department of Cardiac Surgery, University of Padova, Padova, Italy
Further Information

Publication History

1985

Publication Date:
19 March 2008 (online)

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Summary

The treatment of acute aortic dissection requires expeditions and reproducible operations aimed at avoiding rupture of the dissection or its antegrade or retrograde progression.

In 12 type A and 11 type B dissections the aorta was repaired using an intraluminal prosthesis to reduce the risk of hemorrhage and its related complications.

Overall mortality rates were 33% in type A and 36% in type B patients, similar to that observed in patients operated with other techniques, but the incidence of intraoperative bleeding was possibly reduced and the cross-clamping time was significantly shorter.

This method of repair is a sound alternative to conventional anastomotic suturing, particularly in clinically compromised patients and in the hands of surgeons on call, who may lack the experience of dealing with a particularly fragile aortic wall.

Key words

Aortic dissection - Intraluminal prosthesis