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

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This video introduces surgical strategies, techniques and skills for aortic root operations, including a series of aortic root procedures, covering conventional or minimally invasive methods. The complex cases covered represent a practical approach of performance by experienced surgeons. Minimally invasive cardiac surgery has potential of reducing surgical pain and trauma.

Introduction

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.

About the Author

Cangsong Xiao

Professor Cangsong Xiao is the chief professor of Department of Cardiac Surgery in Chinese PLA General Hospital, Beijing, China.

 
Yang Wu

Professor Yang Wu is professor of Department of Cardiac Surgery in Chinese PLA General Hospital, Beijing, China.

 
Weihua Ye

Professor Weihua Ye is professor of Department of Cardiac Surgery in Chinese PLA General Hospital, Beijing, China.

 

About this video

Author(s)
Cangsong Xiao
Yang Wu
Weihua Ye
DOI
https://doi.org/10.1007/978-981-15-0149-4
Online ISBN
978-981-15-0149-4
Total duration
13 min
Publisher
Springer, Singapore
Copyright information
© Springer Nature Singapore Pte Ltd. 2019

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Video Transcript

[MUSIC PLAYING]

This video demonstrates mini access redo valve-sparing aortic root and total arch replacement and stented graft implantation through upper hemi-sternotomy.

This is a 32-year-old male patient. Seven years ago, he was diagnosed as Marfan syndrome and acute DeBakey type II aortic dissection. He received the ascending aorta and hemi-arch replacement. The follow-up CTA showed aortic root and arch aneurysm. The sinus diameter was 66 millimeters and aortic arch was 72 millimeters.

The pre-operative TTE showed mild aortic regurgitation and normal leaflet and left ventricular systolic function.