Two Cases of Adventitial Inversion Technique for Stanford Type A Acute Dissecting Aortic Aneurysm

(Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Japan)

Yoshifumi Kunii Masaaki Koide Yoshikazu Ayusawa
Akira Sakai
We treated two cases of Stanford type A acute dissecting aortic aneurysm with the adventitial inversion technique. Both case 1)a 65-year-old woman and 2)a 74-year-old woman underwent emergency operation. After cardiopulmonary bypass was established as usual, the diseased aorta was resected, and the intima was trimmed about 10mm shorter than the transected adventitial line in both proximal and distal ends. After GRF glue was employed, the adventitia was inverted inward over the false-lumen, and then tacked with horizontal continuous mattress sutures using 5-0 polypropylene. The graft was then anastomosed with continuous sutures using 3-0 polypropylene. No bleeding occurred from the anastomosis site in both cases. This method was completed without the use of artificial reinforcement, nevertheless patent anastomosis was possible. This simple method was easily performed and proved to be safe and useful.
@Jpn. J. Cardiovasc. Surg. 30: 242-244 (2001)