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.
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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