Partially Resorbable Mesh Inclusion between Dissected Layers during Surgical Repair of Aortic Dissection.

Corrado Cavozza,Antonio Campanella,Glauco Camporini,Tommaso Regesta,Andrea Audo

doi:10.1055/s-0041-1729919

Abstract

Surgical management of aortic dissection is technically challenging for different reasons. Reapproximation of dissected layers because of fragility of the dissected aortic wall layers is of major concern. Many techniques have been described to restore the integrity of aortic wall. Inclusion of a partially resorbable mesh fixed with glue, between the dissected layers, may be a simple and effective method for providing a secure and viable end-to-end anastomosis between aortic stump and a Dacron graft.

Highlights

Restoration of aortic wall integrity through reapproximation of the dissected layers represents a challenging surgical treatment
Inclusion of a partially resorbable mesh fixed with glue, between the dissected layers, may be a simple and effective method for providing a secure and viable end-to-end anastomosis between aortic stump and a Dacron graft
In addition to inserting a mesh ring trimmed to match the proximal aortic stump, we reinforced the vessel by wrapping with Teflon felt strips or by adventitial inversion

Summary

Introduction

Restoration of aortic wall integrity through reapproximation of the dissected layers represents a challenging surgical treatment. 1 Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery, Santissimi Antonio e Biagio Hospital, Alessandria, Italy Address for correspondence Corrado Cavozza, MD, Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery SS Antonio e Biagio Hospital, Via Venezia 16, Alessandria 15121, Italy (e-mail: cc220564@gmail.com).

Results

Conclusion