"Millefeuille Technique" by Using Excised Intimal Layers in Repair of Type A Aortic Dissection.
Haemostasis
Type A aortic dissection
Journal
Heart, lung & circulation
ISSN: 1444-2892
Titre abrégé: Heart Lung Circ
Pays: Australia
ID NLM: 100963739
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
22
03
2021
accepted:
04
04
2021
pubmed:
5
5
2021
medline:
10
11
2021
entrez:
4
5
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33941470
pii: S1443-9506(21)00409-1
doi: 10.1016/j.hlc.2021.04.003
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1938-1941Informations de copyright
Copyright © 2021 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.