Common questions

What is a Debranching procedure?

What is a Debranching procedure?

Their common concept is bypass grafting of the supraaortic branches and ligation of the native branches (“debranching”) followed by endovascular stent grafting of the aortic arch with or without subsequent TEVAR of the descending aorta.

Can a thoracic aortic aneurysm be repaired?

Open-chest surgery to repair a thoracic aortic aneurysm generally involves removing the damaged section of the aorta and replacing it with a synthetic tube (graft), which is sewn into place. It generally takes a month or more to fully recover from this procedure.

What is the success rate of thoracic aortic aneurysm surgery?

Discussion. The present population-based study of primary open thoracic aortic surgery, using data from 1993 to 2010, demonstrated an overall survival rate of 86.6% at 1 year, which declined to 44.7% at 15 years.

How long does a thoracic aortic aneurysm repair last?

You may be able to do many of your usual activities after 4 to 6 weeks. But you will probably need 2 to 3 months to fully recover. Some people find that they feel sad or more emotional than usual while they are recovering after this surgery. This may last for up to 6 weeks after surgery.

What is visceral Debranching?

The first stage, visceral debranching, is most commonly achieved from a transabdominal approach via midline laparotomy. In the absence of prior laparotomy, this allows ready exposure of all of the visceral vessels as well as the iliac arteries.

What is frozen elephant trunk?

Introduction. The frozen elephant trunk (FET) procedure, or open stent grafting, is a tool for the combined open and endovascular treatment of extensive aortic disease involving both the aortic arch and descending thoracic aorta.

How common is thoracic aneurysm?

Thoracic aortic aneurysms are rare, occurring in approximately 6-10 per every 100,000 people. About 20% of those cases are linked to family history. Your risk is higher if you have certain genetic syndromes (see “Causes” below), as you age, if you smoke and if you have high blood pressure.

Do thoracic aneurysms go away?

Thoracic aortic aneurysms often grow slowly and usually without symptoms, making them difficult to detect. Some aneurysms will never rupture. Many start small and stay small, although some expand over time.

Why is it called frozen elephant trunk procedure?

The so-called ‘frozen elephant trunk’ technique is adapted from the classical elephant trunk technique first described by H.G. Borst in 1983 and allows the repair of concomitant aortic arch and proximal descending aortic aneurysms in a single stage.

What is type A dissection?

Abstract. Type A aortic dissection is a surgical emergency occurring when an intimal tear in the aorta creates a false lumen in the ascending aorta. Prompt diagnosis and surgical treatment are imperative to optimize outcomes.

How is a hybrid Tevar with aortic debranching done?

Here is the OR note… Hybrid TEVAR with one left subclavian carotid bypass graft. 2. Aortic debranching procedure done through a median sternotomy. 3. Aortic stent grafting using a Medtronic Talent 40 x 40 x 114 graft. his descending thoracic aortic aneurysm. At that time, he had a 4.5

Where is the incision made for aortic debranching?

FINDINGS: Postoperative ejection fraction was 50%. PROCEDURE: He is taken to the operating room. The first order of usual sterile fashion. An incision was made 2 cm above clavicle on

What kind of stent is used for aortic debranching?

Aortic stent grafting using a Medtronic Talent 40 x 40 x 114 graft. his descending thoracic aortic aneurysm. At that time, he had a 4.5 cm descending thoracic aneurysm at the level of the subclavian.

How does thoracic endovascular aortic repair work?

Thoracic Endovascular Aortic Repair where they debranch the head vessels and re-implant them onto the aorta because the aortic graft cuts off the blood supply to the carotid, innominate and subclavian.