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Simplifying aortic arch surgery: open zone 2 arch with single branched thoracic endovascular aortic repair completion

  
@article{ACS16484,
	author = {Nimesh D. Desai and Ashley Hoedt and Grace Wang and Wilson Y. Szeto and Prasthanth Vallabhajosyula and Mary Reinke and Joseph E. Bavaria},
	title = {Simplifying aortic arch surgery: open zone 2 arch with single branched thoracic endovascular aortic repair completion},
	journal = {Annals of Cardiothoracic Surgery},
	volume = {7},
	number = {3},
	year = {2018},
	keywords = {},
	abstract = {Background: Distal aortic complications from acute DeBakey I dissection repair are an important source of late morbidity and mortality. We present an early experience of using a novel single-branched thoracic aortic endograft in conjunction with open techniques to treat acute DeBakey I aortic dissection.
Methods: The patients in this series include five hyperacute dissections managed with a combined zone 2 partial arch replacement and placement of a zone 2 single subclavian branch endograft
Results: There were no perioperative mortalities, strokes, or spinal cord ischemia in any patients at either stage of the procedure. At follow-up imaging, no patients had anterograde flow into the false lumen. All patients experienced false lumen thrombosis in the stented portion of the aorta.
Conclusions: This combination of open repair techniques and the use of a novel branched endograft resulted in excellent early outcomes in this pioneer series. Further investigation of these techniques in a prospective fashion is warranted.},
	issn = {2304-1021},	url = {https://www.annalscts.com/article/view/16484}
}