Novel technique in frozen elephant trunk positioning method using the ostium of the coronary artery on transesophageal echocardiography as an index.
Aortic arch aneurysm
Frozen elephant trunk
Spinal cord injury
Transesophageal echocardiography
Journal
General thoracic and cardiovascular surgery
ISSN: 1863-6713
Titre abrégé: Gen Thorac Cardiovasc Surg
Pays: Japan
ID NLM: 101303952
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
received:
24
04
2022
accepted:
16
06
2022
pubmed:
3
7
2022
medline:
26
10
2022
entrez:
2
7
2022
Statut:
ppublish
Résumé
The frozen elephant trunk (FET) technique is useful in the single-stage treatment of aortic arch aneurysms. Since there is no established implantation method for evaluating the distal end of the FET during surgery, we propose the FET positioning method using the ostium of the coronary artery on transesophageal echocardiography (TEE) as an index. We performed 11 total arch replacement operations using an FET for aortic arch aneurysm. The planned position of the FET was determined by computed tomography (CT), and the distance to the ostium of the coronary artery was measured. Intraoperatively, using TEE as a guide, the FET was implanted using our method. Postoperative CT was evaluated the distance from the planned FET position, and the average and median difference was only 0.96 cm and 0.6 cm, respectively. TEE-guided FET deployment using the coronary artery ostium as an index is a simple and reproducible technique.
Identifiants
pubmed: 35779155
doi: 10.1007/s11748-022-01847-x
pii: 10.1007/s11748-022-01847-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
993-996Informations de copyright
© 2022. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.
Références
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