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Ann Thorac Surg 1986;41:169-175
© 1986 The Society of Thoracic Surgeons

Articles

Surgical Treatment of Aortic Dissection: Application of Ivalon Sponge to the Dissected Lumen

Tatsuzo Tanabe, M.D.*, Masahito Hashimoto, M.D., Keisuke Sakai, M.D., Keishu Yasuda, M.D., Tetsuro Takeoka, M.D., Osamu Matsunami, M.D., Makoto Sakuma, M.D., Toshihiro Gohda, M.D.

Second Department of Surgery, Hokkaido University School of Medicine, Sapporo, Japan

Accepted for publication March 29, 1985.

* Address reprint requests to Dr. Tanabe, Hokkaido University Hospital, Kita 14, Nishi 5, Sapporo, Japan 060

With canine disease models for aortic dissection, we performed comparative evaluations of several surgical procedures for the management of this dissection. From these experimental procedures, we developed a new operative technique, the Ivalon sponge occlusion method, designed to promote thrombus formation and to mesh (organize) effectively with the tissue ingrowth of the peripheral dilated, dissected aortic lumen. The details of the technique are described. It has been used successfully in 12 patients with DeBakey type I and type III aortic dissection. Based on our experimental and clinical evaluations, although the results are preliminary, we believe this operative technique is a simple, effective approach for the management of extended aortic dissection.




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