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Ann Thorac Surg 1990;50:624-630
© 1990 The Society of Thoracic Surgeons

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Articles

Use of the variable-length intraluminal sutureless graft

Division of Cardiothoracic Surgery, Long Island Jewish Medical Center, New Hyde Park, New York USA

Accepted for publication June 4, 1990.

^_* Address reprint requests to Dr Graver, The Heart Institute, Long Island Jewish Medical Center, New Hyde Park, NY 11042.

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.

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