The Annals of Thoracic Surgery, Vol 50, 624-630, Copyright © 1990 by The Society of Thoracic Surgeons
Use of the variable-length intraluminal sutureless graft
LM Graver and DH Tyras
Division of Cardiothoracic Surgery, Long Island Jewish Medical Center, New Hyde Park, New York.
From August 1987 to May 1988 we treated 4 patients with acute ascending
aortic dissections with a variable-length intraluminal aortic prosthesis.
This operation uses profound hypothermic circulatory arrest and represents
a refinement of existing techniques. There was no mortality, and morbidity
was minimal. Modifications of this technique can be used in performing
proximal aortic root reconstruction with a composite valved conduit. The
use of a variable-length intraluminal prosthesis and hypothermic
circulatory arrest is illustrated. This is a safe and useful technique in
select cases of acute ascending aortic dissection.