Aortic wrapping is life-saving in high-risk acute aortic dissection and intramural haematoma

Author:

Carrel Thierry1ORCID,Sromicki Juri1ORCID,Schmiady Martin1,Aser Raed1,Ouda Ahmed1,Vogt Paul Robert1ORCID

Affiliation:

1. Department of Cardiac Surgery, Clinic for Cardiac Surgery, University Hospital , Zürich, Switzerland

Abstract

Abstract Aortic wrapping is a controversial repair in patients presenting with acute type A aortic dissection or intramural haematoma, but this method may be a potential alternative to medical treatment or conventional repair in patients aged >80 years and in those presenting with prohibitive co-morbidities such as stroke, circulatory collapse, full oral anticoagulation with the last generation drugs. We report on 5 high-risk and/or patients over 80 years who received external aortic wrapping with or without cardiopulmonary bypass during the last 18 months. All survived the procedure and could be extubated early postoperatively. No patient remained on the intensive care longer than 2 days and all were discharged without additional complications. Postoperative radiological control was acceptable and no patient had any new aortic event up to 18 months postoperatively.

Publisher

Oxford University Press (OUP)

Subject

Cardiology and Cardiovascular Medicine,Pulmonary and Respiratory Medicine,Surgery

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Acute type A aortic dissection in elderly patients: a third option?;European Journal of Cardio-Thoracic Surgery;2023-04-01

2. Reply to Allain et al.;European Journal of Cardio-Thoracic Surgery;2023-03-17

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