INTERDISCIPLINARY PROJECT: “3D PRINTING” AND AORTIC DISEASE FROZEN ELEPHANT TRUNK USING THE NEW E-VITA OPEN PLUS NEO (JOTEC R), AORTIC VALVE REPLACEMENT, MITRAL VALVE ANULOPLASTY, LEFT SUBCLAVIAN REVASCULARIZATION USING LEFT MAMMARY ARTERY

Clinical Summery

• 1^st February 2017, underwent an ascending aorta replacement, debranching of the Innominate artery and left common carotid artery for the acute aortic dissection
• The patient presented pseudoaneurysm at level of aortic root, a residual dissection of the aortic arch and of the descending thoracic aorta and a moderate-severe aortic and mitral valve insufficiency
• Depression of LV function

Surgical Tecnique

• Aortic Valve Replacement with Stentless biological prosthesis Medtronic Freestyle n 25
• Mitral Annuloplasty using Memo 4D n 28
• Ascending aorta and aortic arch replacement with debranching of the Innominate artery and left common carotid artery
• Frozen Elephant Trunk using E-vita Open plus NEO n 26
• Unfavorable anatomy for LSA revascularization
• Left subclavian artery revascularization using Left Mammary Artery

Thanks so much

Dr. Loris Salvador , Dr. Nicola Lamascese, Dr. Alessandro Favaro, Dr. Michele Gallo, dr. Daniele Zoni, Dr. Cheti Benazzato (anesthesiologist) , Mrs. Noemi D’Amato (perfusionist) , Mrs. Cristina Rabaglio (nurse), Mrs. Laura Chiarello (nurse)

Dr. Carlo Campana (3d printing engineer),

Mr. Luciano Ghiotto (3d printing specialist),

Dr. Leonardo Costa (biomedical engineer)

SISMA spa, StefanPlast, Valle Autotrasporti, ULSS8 Berica

xx