Mini access redo valve-sparing aortic root, total arch replacement and stented graft implantation after type A aortic dissection repair / Cangsong Xiao, Yang Wu, Weihua Ye.
The video starts with an explanation of preoperative assessment, anesthetic management, and surgical preparation. Key steps of the procedure are precisely illustrated.This is followed by a demonstration of a mini access redo valve-sparing aortic root and total arch replacement and stented graft impl...
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| Online Access: |
Streaming Video (via Alexander Street Press) |
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| Main Author: | |
| Format: | Video |
| Language: | English |
| Published: |
Berlin, Germany :
Springer,
2019.
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| Subjects: |
| Summary: | The video starts with an explanation of preoperative assessment, anesthetic management, and surgical preparation. Key steps of the procedure are precisely illustrated.This is followed by a demonstration of a mini access redo valve-sparing aortic root and total arch replacement and stented graft implantation through upper hemisternotomy for a patient diagnosed as Marfan syndrome and acute DeBakey Type II aortic dissection. The video aims to familiarize the practitioners with the whole process, thereby increasing confidence of surgical success. Marfan syndrome (MFS) ascribes to mutations of the fibrillin-1 gene as an autosomal dominant genetic disorder. The leading cause of death in MFS patients is acute aortic dissection with consequence of medial degeneration and aneurysm formation. Acute type A aortic dissection is an emergency with high morbidity and mortality during surgical repair. Currently, there is an increasing trend of complex operations with expanding strategies to treat various life-threatening events, including re-do surgeries. These can be a stubborn challenge for cardiovascular surgeons. This video presents a 32-year-old male patient with a medical history of Marfan syndrome and acute DeBakey type II aortic dissection. He has received ascending aorta and hemi-arch replacement. Upon admission, he was scheduled to undergo a redo valve-sparing surgery. The surgical plan includes a mini access chest open, cardiopulmonary bypass set up, myocardial protection, and cerebral protection. Surgical steps of approach are followed by aortic root preparation, aortic arch reconstruction and aortic valve-sparing procedure. The patient is stable after 1 year of surgery with normal aortic valve function without regurgitation and stenosis in TTE. |
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| Item Description: | Title from resource description page (viewed March 16, 2020) |
| Physical Description: | 1 online resource (14 minutes) |
| Playing Time: | 00:13:57 |
| Participant or Performer: | Presenter: Cangsong Xiao. |
| Language: | In English. |
| Terms Governing Use and Reproduction Note: | Public performance rights obtained |