Patient Selection
In this study, we took a total of 87 patients who underwent surgery for Type A Aortic Dissection from September 2017 to September 2020. Out of which Group A, n=51 patients were surgically corrected by Trifurcated branch graft technique, with mean age 47.45 ± 10.47 years, {39(76.47%)males and 12(23.52%)females} and Group B, n=36 patients with island (en bloc) technique mean age 52.75 ± 10.32 years {27(75%)males and 9(25%)females}. Moderate to Severe hypothermic circulatory arrest with temperature drift between 25-32°C with selective antegrade cerebral perfusion (SACP) through axillary artery in 51(58.62%)patients and direct brachiocephalic cannulation in 38(43.62%)patients was used. Other concomitant procedures were done as needed.
2(3.92%)patients in groupA, had undergone previous cardiac surgery. 5(9.80%) and 3(8.33%) patients had Marfan syndrome in group A and group B respectively. Elective surgery was done in 22(25.28%)patients {16(31.37%)in group A and 6(16.66%)in group B} while emergency surgery was done in 65(74.71%)patients {35(68.62%)in group A and 30(83.33%)in group B }. Primary intimal tear was found in ascending aorta in 79(90.80%)patients {45(88.32%) and 34(94.44%)in group A and B respectively, (p=0.323, ns)}. Innominate artery and carotid artery involvement was seen in 8(9.19%)patients {5(9.80%) and 3(8.33%)in groupA and B respectively}. Descending aorta was stented i.e frozen elephant trunk, in 85(97.70%)patients. Preoperative variables are given in Table:1 below.
Surgical Technique
A routine standard median sternotomy approach was done for all the cases in this study. Cardiopulmonary bypass was established after heparinization, using axillary cannulation in 48(94.11%) patients in group A and 3(8.33%)patients in group B, innominate artery cannulation for 5(9.83%) patients in group A and 33(91.66%) patients in group B, femoral artery cannulation and right atrium cannulation was done in all the cases. Left ventricle was vented through the left superior pulmonary vein in all the cases. Direct Antegrade cardioplegia through coronary ostia was given in all the cases for both the groups. We used Del Nido cardioplegia for all patients for myocardial protection. Retrograde cardioplegia in addition to antegrade cardioplegia was used in 2 cases in Group A patients. All the patients were operated under moderate to
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)
severe hypothermic circulatory arrest with temperature drift between 22 degree celsius to 32 degree celsius.
Trifurcated Branch Graft Technique
A four branched prefabricated aortic graft was used, with three branches for the supra aortic vessel anastomosis and one for arterial perfusion. The exact length and orientation for distal anastomosis depended on the surgeon's experience and varied from patient to patient. After arresting the heart, the trifurcated graft was cutted and trimmed according to respective patients' aorta size and 3 vessel orientation.
Ascending aorta and all three supra aortic vessels were disconnected and clamped. Direct visual insertion of frozen elephant trunk (stent) for distal arch descending aorta was done in all the patients. Distal anastomosis of the trifurcated branched graft with the stented mount was done under deep hypothermic circulatory arrest with selective antegrade perfusion to the brain through the axillary artery with 10 ml/kg.min. Innominate artery anastomosis to one of the branches of the graft was done. After deairing, Innominate artery clamp was released and anterograde circulation was initiated through the fourth arm of the branched graft. Consequently, left common carotid and left subclavian anastomosis was done and respective clamps were released after deairing. Repeat cardioplegia was given as required.
Proximal anastomosis of the graft to native aorta was done. Coronary buttons were reimplanted. Concomitant procedures were done as required for respective patients. Deairing and rewarming was done and CPB was discontinued. Ligation and resection of the fourth branch of the graft was done. Hemostasis and routine closure was done in all patients.
Island (en bloc) Technique
Distal aorta is clamped and heart arrested by direct antegrade coronary cardioplegia. An ascending aorta composite graft is used, which is inverted and pushed into the left ventricle. Retrograde perfusion is continued through the femoral artery.
Proximal aortic root anastomosis to native aorta with the inverted graft is done. The graft is everted out and coronary button anastomosis is done. Cardioplegia is given again through the graft to check the leak and patency of coronaries. The proximal graft is clamped. Distal native aorta clamp is released and is dissected in such a way that supra aortic vessels are intact on the native aorta and in continuous with the native descending aorta. Selective antegrade cerebral perfusion was given through the innominate artery in 33 cases and through the axillary artery in 3 cases. Selective Direct visual insertion of frozen elephant trunk (stent) in the descending aorta was done for all the patients.
The distal part of the graft was bevelled and anastomosed to the island of the three supra aortic vessels intact and anastomosis is completed with the proximal part of the stented mount. Deairing and rewarming was done and a proximal aortic clamp was released. Concomitant procedures were done as required for the respective patients. CPB discontinued. Hemostasis and routine closure was done.
Statistical Analysis
All the continuous variables in the data were expressed as mean±standard deviation (SD) and Student t test was used for comparing normally distributed data. For categorical data, comparison was done by χ2 test and Fisher exact test according to scale and distribution level. P value of < 0.05 was considered statistically significant .
Follow up
All patients had complete follow up at 3 months and 6 months with CT scan available in 100% of patients.