TY - JOUR
T1 - “Millefeuille Technique” by Using Excised Intimal Layers in Repair of Type A Aortic Dissection
AU - Mutsuga, Masato
AU - Yagami, Kei
AU - Fujita, Takashi
AU - Ishida, Shinichi
AU - Usui, Akihiko
N1 - Publisher Copyright:
© 2021 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ)
PY - 2021/12
Y1 - 2021/12
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85105017225&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85105017225&partnerID=8YFLogxK
U2 - 10.1016/j.hlc.2021.04.003
DO - 10.1016/j.hlc.2021.04.003
M3 - Article
C2 - 33941470
AN - SCOPUS:85105017225
SN - 1443-9506
VL - 30
SP - 1938
EP - 1941
JO - Heart Lung and Circulation
JF - Heart Lung and Circulation
IS - 12
ER -