Simplified total arch reconstruction with a stented graft for extended aortic arch dilation.

ABSTRACT:

Background

Reconstruction of the aortic arch and its three supra-aortic vessels remains a great surgical challenge with postoperative complications. We present a simplified total arch reconstruction with a modified stent graft (s-TAR) and compared its operative outcomes with conventional total arch replacement (c-TAR).

Methods

This retrospective analysis of prospectively collected data from all consecutive patients who had ascending aortic aneurysm with extended aortic arch dilation and underwent simultaneous ascending aorta replacement and aortic arch reconstruction with the s-TAR or c-TAR between 2018 and 2021. The indication for intervention was maximum diameter of ascending aorta >55 mm and aortic arch in zone II >35 mm.

Results

A total of 84 patients were analyze

SUBMITTER: Zheng HJ 

PROVIDER: S-EPMC10183531 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature