“Millefeuille Technique” by Using Excised Intimal Layers in Repair of Type A Aortic Dissection

Masato Mutsuga, Kei Yagami, Takashi Fujita, Shinichi Ishida, Akihiko Usui

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)

Abstract

Surgical outcomes for acute Type A aortic dissection (AAD) have dramatically improved in recent years due to prompt diagnosis, improved surgical technique and perioperative management. A single needle hole can become a new entry point in AAD cases with such a fragile wall, so a mixed technique using minimal surgical stitches and glue is required for a good outcome. The ‘Millefeuille’ technique involves multiple layers with a prosthetic graft, intimal layer, additionally inserted surplus intimal layer with BioGlue, adventitial layer, and felt. This technique may help to prevent needle hole re-entry.

Original languageEnglish
Pages (from-to)1938-1941
Number of pages4
JournalHeart Lung and Circulation
Volume30
Issue number12
DOIs
Publication statusPublished - 12-2021
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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