Repair of residual aortic dissections with frozen elephant trunk technique;

dc.authorscopusid 58373586900
dc.authorscopusid 57194017437
dc.authorscopusid 7004343412
dc.authorscopusid 56637916200
dc.authorscopusid 8515428400
dc.authorscopusid 56298379700
dc.authorscopusid 6602600863
dc.contributor.author Akbulut,M.
dc.contributor.author Ak,A.
dc.contributor.author Taş,S.
dc.contributor.author Arslan,Ö.
dc.contributor.author Antal,A.
dc.contributor.author Çekmecelioğlu,D.
dc.contributor.author Tunçer,A.
dc.date.accessioned 2024-05-25T12:33:27Z
dc.date.available 2024-05-25T12:33:27Z
dc.date.issued 2020
dc.department Okan University en_US
dc.department-temp Akbulut M., Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey; Ak A., Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey; Taş S., Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey; Arslan Ö., Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey; Antal A., Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey; Çekmecelioğlu D., Division of Cardiothoracic Surgery, Baylor College of Medicine, TX, United States; Şişmanoğlu M., Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey; Tunçer A., Department of Cardiovascular Surgery, Istanbul Okan University Hospital, Istanbul, Turkey en_US
dc.description.abstract Background: In this study, we present our mid-term results of reoperation with the frozen elephant trunk procedure due to patent false lumen-related complications in patients previously undergoing supracoronary aortic repair for acute type A aortic dissection. Methods: Between January 2013 and September 2018, a total of 23 patients (17 males, 6 females; mean age 51.5±9.7 years; range, 30 to 67 years) who underwent ascending aortic replacement due to type A aortic dissection and, later, frozen elephant trunk procedure for residual distal dissection were included. For diagnostic purposes and follow-up, computed tomography angiography was performed in all patients, and both re-entry and aortic diameters were evaluated. Echocardiography was used to evaluate cardiac function and valve pathologies. Results: The Ishimaru zone 0 (n=11, 47.8%), Ishimaru zone 1 (n=1, 4.3%), Ishimaru zone 2 (n=4, 17.4%), and Ishimaru zone 3 (n=7, 30.4%) were used for frozen elephant trunk stent graft fixation. The mean duration of cardiopulmonary bypass and antegrade selective cerebral perfusion was 223.9±71.2 min and 88.9±60.3 min, respectively. In-hospital mortality was 13%, while there was one (4.3%) aortic-related death and four (17.4%) re-interventions during follow-up. Conclusion: Early repair should be considered in the presence of persistent dissections due to alarmingly high mortality rates of reoperations. Reoperation with the frozen elephant trunk procedure has acceptable results and the decision of the procedure to be performed should be based on preoperative risk factors of the patient. © 2020 Turkish Society of Cardiovascular Surgery. en_US
dc.identifier.citationcount 1
dc.identifier.doi 10.5606/TGKDC.DERGISI.2020.19273
dc.identifier.endpage 425 en_US
dc.identifier.issn 1301-5680
dc.identifier.issue 3 en_US
dc.identifier.scopus 2-s2.0-85098203101
dc.identifier.scopusquality Q4
dc.identifier.startpage 419 en_US
dc.identifier.uri https://doi.org/10.5606/TGKDC.DERGISI.2020.19273
dc.identifier.uri https://hdl.handle.net/20.500.14517/2485
dc.identifier.volume 28 en_US
dc.identifier.wosquality Q4
dc.language.iso en
dc.publisher Baycinar Medical Publishing en_US
dc.relation.ispartof Turkish Journal of Thoracic and Cardiovascular Surgery en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 1
dc.subject Aortic dissection en_US
dc.subject frozen elephant trunk en_US
dc.subject hybrid procedure en_US
dc.subject reoperation en_US
dc.title Repair of residual aortic dissections with frozen elephant trunk technique; en_US
dc.title.alternative Rezidü aort diseksiyonlarının frozen elephant trunk tekniği ile onarımı en_US
dc.type Article en_US

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