| 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 |
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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) |
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