Technical aspects of branched graft aortic reconstruction in patients with connective tissue disorders

Natalia O. Glebova, Caitlin W. Hicks, Ridwan Alam, Jennifer Lue, Brandon W. Propper, James H. Black

Research output: Contribution to journalArticlepeer-review

Abstract

Connective tissue disorders (CTDs) predispose patients to dilation of the entire aorta, resulting in the development of extensive aneurysms. Aortic reconstruction in CTD patients can be challenging and demands specific approaches to ensure initial success and lasting stability of aortic repair. Herein, we describe technical approaches to aortic reconstruction in patients with CTDs and briefly report our outcomes on the use of branched grafts for reconstruction in this unique population of patients. We conclude that aortic reconstruction in CTD patients with branched grafts can be performed safely, with a low morbidity and mortality and excellent branch patency. Branched surgical grafts should be used preferentially over the inclusion patch technique during open repair to minimize the late development of patch aneurysms.

Original languageEnglish (US)
Pages (from-to)520-525
Number of pages6
JournalJournal of vascular surgery
Volume64
Issue number2
DOIs
StatePublished - Aug 1 2016

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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