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Ann Thorac Surg 2001;72:1403-1404
© 2001 The Society of Thoracic Surgeons

How to do it

Novel technique to repair type A acute aortic dissection in patients with a left ventricular assist device

Yoshifumi Naka, MDa, Niloo M. Edwards, MDa, Mehmet C. Oz, MDa

a Division of Cardiothoracic Surgery, Department of Surgery, College of Physicians and Surgeons of Columbia University, New York, New York, USA

Accepted for publication May 16, 2001.

Address reprint requests to Dr Naka, MHB 7-435, 177 Fort Washington Ave, New York, NY 10032
e-mail: yn33{at}columbia.edu

Acute type A aortic dissection is an uncommon complication with left ventricular assist device insertion, but is often fatal even if successfully repaired with conventional techniques including aortic valve repair. Residual aortic insufficiency is common because this valve is now subjected to systolic pressure. We present a novel technique for the repair of type A acute aortic dissection in patients with a left ventricular assist device with no chance of residual aortic insufficiency.




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