OBJECTIVES: To minimize any residual false lumen when operating on @entity1 with an acute @entity1129 aortic dissection, we tried to perform extensive primary repair of the thoracic aorta with the modified @entity7105 trunk technique. The early and midterm results of these surgical interventions are reported and evaluated. METHODS: Among the acute @entity1129 aortic dissections with extensive false lumen encountered since December 1997, 19 consecutive @entity1 , 15 DeBakey type I with the tear in the ascending, transverse, or both aortas, and 4 DeBakey type III-D with the tear located in the descending aorta, underwent insertion of a synthetic graft with a distally anchored stent in the descending thoracic aorta. The interpolation method was used as an introducer combined with total replacement of the aortic arch by using a synthetic branching graft with only a median sternotomy. RESULTS: One @entity1 died, and 18 were discharged after full recovery. Postoperative computed tomographic scans showed that no residual false lumina were present proximal to the diaphragmatic level, and no false lumina were found in 10 @entity1 . Two @entity1 with acute @entity63 of the right kidney caused by narrowing of the true lumen, as demonstrated by radiographic computed tomography, improved significantly after surgical intervention with restoration of blood flow in the true lumen. @entity451 was not observed in any @entity1 . CONCLUSIONS: In emergency operations for an acute @entity1129 aortic dissection, the operation is often limited to replacing the ascending aorta because priority is given to saving the @entity1 's life. However, it is possible to perform extensive primary repair of the thoracic aorta with relative safety by interpolating a synthetic graft with a self-expandable stent.

Extensive primary repair of the thoracic aorta in Stanford XXXX acute aortic dissection by means of a synthetic vascular graft with a self-expandable stent.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemia'] @entity7105 :: ('9783', 'Species') :: ['elephant'] @entity1129 :: ('MESH:D001260', 'Disease') :: ['type A'] @entity451 :: ('MESH:C536857', 'Disease') :: ['Paraplegia']
@entity1129 :: (MESH:D001260,Disease) :: ['type A']
