"Millefeuille Technique" by Using Excised Intimal Layers in Repair of Type A Aortic Dissection

被引：2
|
作者：
Mutsuga, Masato [1 ]
Yagami, Kei [2 ]
Fujita, Takashi [2 ]
Ishida, Shinichi [2 ]
Usui, Akihiko [1 ]
机构：
[1] Nagoya Univ, Dept Cardiac Surg, Grad Sch Med, Nagoya, Aichi, Japan
[2] Gifu Prefectural Tajimi Hosp, Dept Cardiac Surg, Tajimi, Gifu, Japan
来源：
HEART LUNG AND CIRCULATION | 2021年 / 30卷 / 12期
关键词：
Type A aortic dissection; Haemostasis; ADVENTITIAL INVERSION TECHNIQUE;
D O I：
10.1016/j.hlc.2021.04.003
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Surgical outcomes for acute Type A aortic dissection (AAD) have dramatically improved in recent years due to prompt diagnosis, improved surgical technique and perioperative management. A single needle hole can become a new entry point in AAD cases with such a fragile wall, so a mixed technique using minimal surgical stitches and glue is required for a good outcome. The 'Millefeuille' technique involves multiple layers with a prosthetic graft, intimal layer, additionally inserted surplus intimal layer with BioGlue, adventitial layer, and felt. This technique may help to prevent needle hole re-entry.
引用
收藏
页码：1938 / 1941
页数：4
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