PMID- 28605548
OWN - NLM
STAT- MEDLINE
DCOM- 20180202
LR  - 20221207
IS  - 1569-9285 (Electronic)
IS  - 1569-9285 (Linking)
VI  - 25
IP  - 5
DP  - 2017 Nov 1
TI  - Early- and mid-term aortic remodelling after the frozen elephant trunk technique 
      for retrograde type A acute aortic dissection using the new Japanese J Graft open 
      stent graft.
PG  - 720-726
LID - 10.1093/icvts/ivx144 [doi]
AB  - OBJECTIVES: We previously performed the frozen elephant trunk (FET) technique for 
      acute type A aortic dissection to try to improve the long-term prognosis. In this 
      study, we report the mid-term results of the FET technique for treating 
      retrograde type A acute aortic dissection using a new device, the J Graft open 
      stent graft (JOSG). METHODS: Between January 2008 and December 2015, 24 patients 
      (mean age: 59.3 +/- 13.9 years) underwent total arch replacement with the FET 
      technique using the JOSG for retrograde type A acute aortic dissection. All 
      patients had at least 1 year of follow-up imaging. RESULTS: The average outer 
      diameter of the JOSG was 28 +/- 2.8 mm (range: 25-35 mm). The average position of 
      the distal edge of the JOSG was Th 6.6 +/- 1.1. The cumulative survival rate at 
      1 year was 91.6%. Postoperative computed tomography 1 year after surgery showed 
      that complete thrombosis was present in all patients at the level of the distal 
      edge of the stent graft and the aortic valve. At the diaphragmatic level, 
      complete thrombosis was seen in 14 (70%) patients, the false lumen was patent in 
      most patients (90%) at the superior mesenteric artery level. CONCLUSIONS: The use 
      of the FET technique with the JOSG for retrograde type A acute aortic dissection 
      provides good outcomes. With the proper use of the JOSG, it is possible to expand 
      the true lumen and eliminate antegrade false-lumen flow, resulting in good aortic 
      remodelling. Furthermore, there should be obliteration of the false lumen from 
      the stent graft to the aortic valve, and this might reduce long-term 
      complications.
CI  - (c) The Author 2017. Published by Oxford University Press on behalf of the European 
      Association for Cardio-Thoracic Surgery. All rights reserved.
FAU - Yamane, Yoshitaka
AU  - Yamane Y
AD  - Department of Cardiovascular Surgery, Cardiovascular Center, Akane-Foundation 
      Tsuchiya General Hospital, Hiroshima, Japan.
FAU - Uchida, Naomichi
AU  - Uchida N
AD  - Department of Cardiovascular Surgery, Cardiovascular Center, Akane-Foundation 
      Tsuchiya General Hospital, Hiroshima, Japan.
FAU - Mochizuki, Shingo
AU  - Mochizuki S
AD  - Department of Cardiovascular Surgery, Cardiovascular Center, Akane-Foundation 
      Tsuchiya General Hospital, Hiroshima, Japan.
FAU - Furukawa, Tomokuni
AU  - Furukawa T
AD  - Department of Cardiovascular Surgery, Cardiovascular Center, Akane-Foundation 
      Tsuchiya General Hospital, Hiroshima, Japan.
FAU - Yamada, Kazunori
AU  - Yamada K
AD  - Department of Cardiovascular Surgery, Cardiovascular Center, Akane-Foundation 
      Tsuchiya General Hospital, Hiroshima, Japan.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Interact Cardiovasc Thorac Surg
JT  - Interactive cardiovascular and thoracic surgery
JID - 101158399
SB  - IM
MH  - Acute Disease
MH  - Aortic Dissection/diagnosis/physiopathology/*surgery
MH  - Aorta, Thoracic/diagnostic imaging/*physiopathology/surgery
MH  - Aortic Aneurysm, Thoracic/diagnosis/physiopathology/*surgery
MH  - Blood Vessel Prosthesis Implantation/*instrumentation
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - *Stents
MH  - Time Factors
MH  - Tomography, X-Ray Computed
MH  - *Vascular Remodeling
OTO - NOTNLM
OT  - Aortic arch
OT  - Aortic dissection
OT  - Surgery
EDAT- 2017/06/13 06:00
MHDA- 2018/02/03 06:00
CRDT- 2017/06/13 06:00
PHST- 2017/01/31 00:00 [received]
PHST- 2017/04/03 00:00 [accepted]
PHST- 2017/06/13 06:00 [pubmed]
PHST- 2018/02/03 06:00 [medline]
PHST- 2017/06/13 06:00 [entrez]
AID - 3865413 [pii]
AID - 10.1093/icvts/ivx144 [doi]
PST - ppublish
SO  - Interact Cardiovasc Thorac Surg. 2017 Nov 1;25(5):720-726. doi: 
      10.1093/icvts/ivx144.