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Czerny M, Kreibich M, Morlock J, Kondov S, Scheumann J, Schröfel H, Kari FA, Berger T, Siepe M, Beyersdorf F, Rylski B. Endovascular aortic arch repair using a double-branched approach. Indian J Thorac Cardiovasc Surg 2019; 35:164-168. [PMID: 33061081 DOI: 10.1007/s12055-019-00788-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Revised: 12/21/2018] [Accepted: 01/03/2019] [Indexed: 11/28/2022] Open
Abstract
The last 15 years have overwhelmed the surgical community with a range of approaches in treating pathologies involving the aortic arch of which some are here to stay. The ones to stay are-in the authors' opinion-refined classical surgical approaches such as the frozen elephant trunk technique, near-orthotopic combined vascular and endovascular approaches such as subclavian to carotid transposition/bypass and double transposition, and finally, near-orthotopic advanced endovascular solutions such as the double-endovascular repair using fenestrated and/or branched solutions which will be the main focus of this article.
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Affiliation(s)
- Martin Czerny
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Maximilian Kreibich
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Julia Morlock
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Stoyan Kondov
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Johannes Scheumann
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Holger Schröfel
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Fabian A Kari
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Tim Berger
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Matthias Siepe
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Friedhelm Beyersdorf
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
| | - Bartosz Rylski
- Department of Cardiovascular Surgery, University Heart Center Freiburg - Bad Krozingen, Bad Krozingen, Germany.,Albert Ludwigs University Freiburg, Faculty of Medicine, Hugstetterstrasse 55, 79106 Freiburg im Breisgau, Germany
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Abstract
PURPOSE OF REVIEW Type B aortic dissection has largely been regarded as the nice dissection with regard to its natural course, especially when compared with type A aortic dissection. However, a more thorough look into the natural course of the disease has shown that a high number of patients with type B aortic dissection will experience complications and will require therapy, sooner or later. RECENT FINDINGS Reasons and timepoints are different, being malperfusion, contained rupture and retrograde propagation of the disease into the aortic arch or into the ascending aorta in the early phase and being mainly aneurysmal formation in the chronic phase of the disease. SUMMARY This article provides the interested reader with detailed knowledge regarding the natural course of the disease and is meant as a companion to anticipate the right timepoint for therapy and finally as a guide to do the right things when advancing to treatment.
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Czerny M, Rylski B, Kari F, Kreibich M, Morlock J, Scheumann J, Kondov S, Südkamp M, Siepe M, Beyersdorf F. Transposition der Kopf- und Halsgefäße. ZEITSCHRIFT FUR HERZ THORAX UND GEFASSCHIRURGIE 2016. [DOI: 10.1007/s00398-016-0081-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Shrestha M, Bachet J, Bavaria J, Carrel TP, De Paulis R, Di Bartolomeo R, Etz CD, Grabenwöger M, Grimm M, Haverich A, Jakob H, Martens A, Mestres CA, Pacini D, Resch T, Schepens M, Urbanski PP, Czerny M. Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the Vascular Domain of EACTS. Eur J Cardiothorac Surg 2015; 47:759-69. [DOI: 10.1093/ejcts/ezv085] [Citation(s) in RCA: 211] [Impact Index Per Article: 23.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2014] [Accepted: 02/02/2015] [Indexed: 01/05/2023] Open
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