Technical aspects of branched graft aortic reconstruction in patients with connective tissue disorders.

Abstract:

:Connective tissue disorders (CTDs) predispose patients to dilation of the entire aorta, resulting in the development of extensive aneurysms. Aortic reconstruction in CTD patients can be challenging and demands specific approaches to ensure initial success and lasting stability of aortic repair. Herein, we describe technical approaches to aortic reconstruction in patients with CTDs and briefly report our outcomes on the use of branched grafts for reconstruction in this unique population of patients. We conclude that aortic reconstruction in CTD patients with branched grafts can be performed safely, with a low morbidity and mortality and excellent branch patency. Branched surgical grafts should be used preferentially over the inclusion patch technique during open repair to minimize the late development of patch aneurysms.

journal_name

J Vasc Surg

authors

Glebova NO,Hicks CW,Alam R,Lue J,Propper BW,Black JH 3rd

doi

10.1016/j.jvs.2016.04.044

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

520-525

issue

2

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(16)30196-3

journal_volume

64

pub_type

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