Surgical treatment of acute XXXX with an intraluminal sutureless graft.

@entity1 @entity51 @entity1580 @entity1167
The surgical treatment of acute @entity1580 remains a great challenge to all cardiac surgeons. From January 1991 to June 1993, 21 consecutive @entity1 (13 @entity1 and eight @entity1 , aged 34 to 74 years) underwent emergency operations to repair acute @entity1580 , with the aid of hypothermic @entity1167 . The intima tear was located in the ascending aorta in 13 @entity1 , in the aortic arch in five @entity1 , and in the descending aorta in three @entity1 . The dissected ascending aorta was replaced with sutureless, intraluminal vascular grafts in all 21 @entity1 . The intima tears in the aortic arch of five @entity1 were primarily repaired. Modified Cabrol's shunts were created in seven @entity1 for hemostasis, and Dacron grafts were used to wrap the ascending aorta in 18 @entity1 . Retrograde cerebral perfusion during @entity1167 was performed on 15 @entity1 . The @entity1167 time was 37 +/- 10 minutes (mean +/- SD). All @entity1 survived the operation and regained consciousness in the early postoperative period without @entity51 . Post-treatment follow-ups (mean, 18.2 months) were completed in all @entity1 except one, who died 12 months after the operation as a result of a traffic accident. All of the surviving @entity1 are doing well without any further aortic operations. Our experience suggests that surgical repair of the acute @entity1580 can be a simple and safe procedure if sutureless intraluminal grafts are used and hypothermic @entity1167 and retrograde cerebral perfusion are utilized.
