A modified root reinforcement technique for acute aortic dissection with a weakened aortic root: a modified Florida sleeve technique and two cases report

Journal of Cardiothoracic Surgery

Jin Hong Wi¹  Jin Ho Choi²  Youn-Ho Hwang³  Hee Jae Jun³  Do Kyun Kang³  Ho-Ki Min³  Woon Heo³ 

[1] Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea;Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea;Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, Inje University College of Medicine, 875 (Jwadong) Haeundae-ro, Haeundaegu, Busan 612-030, Korea

关键词: Blood vessel prosthesis;    Aortic root;    Dissection;   

Others  :  814878
DOI  :  10.1186/1749-8090-8-203

 received in 2013-05-21, accepted in 2013-10-24,  发布年份 2013

【 摘 要 】

Despite marvelous advances in repair for acute type A aortic dissection over past decades, it remains challenging to repair the aortic root when aortic dissection extended to the sinuses causes the fragile root because of its thinner layers, which are susceptible to suture trauma. Here, we describe a modified Florida sleeve technique to strengthen the weakened aortic root. After mobilization of the aortic root and the coronary arteries, a designed Dacron tube graft was wrapped outside the sinuses as neo-adventitia to reinforce the dissected weakened wall. During surgery for aortic dissection, our technique is easy and effective to reinforce a weakened root and avoid bleeding. Furthermore, this might be an alternative technique to restore and maintain the geometry of the aortic root.

【 授权许可】

   
2013 Heo et al.; licensee BioMed Central Ltd.

【 图 表 】

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