Repair of Aortic Arch Dissection

[odin6616]

Can't imagine this would be easy with the heart beating, a lot better if it'd just stop and start on command

[MrStec98]

I'm really impressive!!!!! Nice job!!!!!

[authorsls]

My husband suffered from an Aortic Dissention, and we didn't find out exactly what it was till a week later, where I took him to a Cardiologist after many failed attempts to find out what was wrong with him. The surgeon performed this exact surgery, synthetic tube and all, and was released just 5 days after! It's truly a miracle.....thank you for sharing this Dr. Bassam; it was so very informative. And thank YOU for helping those in need!!!

[ysmien]

EXCUSE ME SIR ... WHERE DID YOU COME FROM? AND THANKS ALOT FOR THIS VIDEO :)

[MrGuania]

Amazing of what humans can do to safe the lives of other humans.

[Lachsfischli]

thank you for this video sir.

i intend to become a heart surgeon myself one day, but its still a long way (third year med student).

did i get that right, the sutures and the glue are strong enough to make the vessel leakproof? thats impressive.

"shouldnt" there be more blood in the pericardium due to the enormous bloodpressure?

id be glad to hear from you.

regards from switzerland

ts

[Wetlabtraining]

@Lachsfischli If your training to be a heart surgeon the videos on our channel might interest you, they are training videos directed at cardiothoracic surgeons

[hikerdude4000]

When I become an anesthetist I will peek over the drape to see this type of surgery. Bravo!!!

[em1990med]

this is just amazing!!! i'm first year med student and i can't wait till i perform one of these surgeries!!!!

[CohenAviran]

Gold Hands.. what else can i say .

[HeartbeatRiver]

If you have a mechanical heart valve and the noise keeps you awake at night - but DON'T want to use drugs or narcotics to sleep - you can purchase an inexpensive and non-addictive psychoacoustic audio recording with the title "Heartbeat River" at cdbaby.com

[Rnexen]

This makes me want to specialise as a surgeon, thank you!!!

[BrainChild42]

Isn't there an extremely high mortality rate for this?

[Man1979able]

As a nursery student I was in a cardiac operation room for 4 weeks. It is still amazing and fascinating to see those vids.

[monaliza306]

surgeon where are you from ?

[waldenhouse]

Dr, does Dr Magdi Yacub do this type of surgery? - Do you know him? Thanks for posting such an interesting video - I survived emergency aortic dissection in 2008.

[doctormoo]

Thanks Dr Bassam for showing this video. Really good for me to learn

[MelodicChaosGuitar]

...how do you get the air out of the prothesis? It would cause multiple embolisms if it gets into circulation?!

[flozada777]

amazing video I am having this surgery and it couldn't been more specific and helpful. thank you I feel more secure now.

[fkoff99]

Omega-3, soy lecithin, bioflavonoids, lycopene , enough water, plus a healthy diet= no cardiovascular problems.

[fkoff99]

Wow , how can you do that without letting not even a little embolus-tiny bubble of air going into the the vascular system?.

[mtchlee]

ExcellentWork Dr. AKASHEH! I just had this done at Alta Bates Hospital Oakland, Ca.

I lost the use of my legs cause I bled down my spine. You make it look so easy:)

[pennytomei3]

I had this surgery approximately 7 years ago. I'm 54 and living without complications. I feel just fine and do everything a normal person does!

[jfrancisco19]

I also had this kind of surgery last 2007 at Philippine Heart Center,, the doctors called the procedure bentalls procedure...

[amyni06]

Great video! May I ask what type of glue you used? I never thought that glue would be used during cardiac surgery. Thanks!

[amyni06]

Great video! May I ask what type of glue you used? I never thought that glue would be used during cardiac surgery. Thanks!

[packimann]

I had an entire aortic replacement along with a heart transplant.

[MrJoshharon91]

i am curious once this surgery is finished what are limitations, if you spare the valve can you still ride a roller coaster

[fadilto]

Good Job Doctor Bassam. How long does the prosthesis used in this procedure survive in the living body?

[bassamakasheh]

@fadilto

The tube graft used is made of dacron and should stay for the patient's lifetime

[bellaetforks19]

@bassamakasheh how long did it take u to become a cardiac surgeon?

[bellaetforks19]

@bassamakasheh some people tell me it takes 10-20 years and that scares me and i am in college is it true?

[fadilto]

Good Job Doctor Bassam.

[runegamer002]

i have to have that this year. im 13

[cayrick]

Absolutely amazing. If I were the surgeon, I couldn't sleep at night wondering if the inserted material was leaking at the sutures.

[SSGMaddog]

I am 45 and I was diagnosed 6 years ago with an ascending aortic aneurysm. I also have a bicuspid valve. I am at 5 cm. The VA says I should wait until I am at 6 cm before operating. My question is this, "If you notice your tire on your car is ready to to burst, would you still take it down the highway or would you stop and fix it?" Why am I asked to wait? I am not looking forward to the surgery but I am also not liking the time bomb in my chest.

[oksooner405]

Most Excellent  Work!!! Bravo!!!

[uomonelnero]

wow this is what i had done to my aorta in an open heart emergency , 2 years later i found out that, now i need the whole descending aorta valve it has 3 aneurysms , with a dissection aswell, i never took it seriously, now it's unoperable, i had to see what this looked like, i never checked it out the proccedures, wow science has come along way, the doc's deserve every buck for this performance, being blessed with this knowledge,

[smcgilli34]

There is great difference between having this done due to trauma versus gradual or genetic failure. When this is done due to trauma (usually in a motor vehicle accident) the chances of suvival are rather low. Scheduled is much safer but still a major surgery.

[banglero]

Mr Youtube - a shining example of a surgeon, i owe my medical training to him, and his renound colleagues Dr Google and Proffessor Wiki ...

[sarmute]

my grandfather is having this operation done at the moment and i'm so nervous.. he has never had any heart problems and it was like a thunderbolt from a blue sky... i really hope he will make it.

[hypnoxxcat]

@sarmute How is he now?

[sarmute]

@hypnoxxcat he died on 16th of May.. his situation was hopeless.

[skoredreng]

@sarmute oh god.. im so sorry to hear that!

[drallabg]

I had an aortic dissection on March 23rd. Wow...was I lucky! I survived and also had my bicuspid valve replaced with a St. Jude aortic valve. My chest is still sore and hopefully soon i will be able to sleep on my stomach! 4 weeks on Tuesday! Feeling great!

[DeathOfEvolution]

I had this surgery but my aortic valve had to be replaced due to failure.

My aorta split all the way down to the femeral artery it had to wrapped.

I had this condition for 14 hours. Lucky for me only 2 of the three layers of the aorta split if the last layer had split, I wouldn't be here

I have a carbo-medics aortic value. NICE VID thanks!!!!

[atsp1226]

my husband actually went through this one week ago. came close to losing him. if you have any kind of chest pains make sure you have it checked out. dont wait.

[pemoye01]

Well this is what my doc did almost 2 years ago. Thanks for the video, it answers some of my remaining questions.

[initialdrifter]

a pt presented to the ER today with chest pain, low bp, hypothermia. paramedics gave nitro in the field for the chest pain which further lowered his BP. glucose was 100, peripheral pulses strong. nothing significant on the ECG. ER doc ordered 2D ultrasound of the heart. Ultrasound revealed dissection of the ascending aorta. CT confirmed and showed it dissected all the way down to the ischium. our thoracic surgeon didn't want to perform the procedure at our hospital but ultimately had to.

[atsp1226]

@initialdrifter i am right there with you. my husband had this happen to him a week ago and almost died. it dissected all the way down to the split of the leg and eventually up through the left cartid artery.

[skoolrox123]

omfg the heart. its so fucking creepy. IM THROWIN U---- *barfs*

[alqammd]

nice work

[ColtraneAndRain]

Since the graft is glued, wouldn't that help the surrounding tissue to hold it? sorry for the stupid question, I'm just a nurse. .

[ColtraneAndRain]

Awesome! Your videos help better my understanding of postop care of these patients. I had a pt who suffered rupture of the aorta post cabg, I kept thinking I missed something, should have called sooner! The cs told me as he reopened the pt, his aorta was too "friable" to use a graft, and that was not known til the pt was opened. So my question is: what test is done to evaluate the condition of these donor grafts or the pts aorta before opening them up? Thanks! <3

[forren6]

Do the surgeons have to crack the chest or whatever it is called to do this surgery?

[jmc647]

yes, this is an open repair, so a sternotomy is performed.

[forren6]

@jmc647 thank you.

[makeupcurious]

a-mazing. I am assigned to a pt s/p aortic dissection repair tomm.. and this video helped a lot. thankyou!

[founditnow54]

heart surgeons are truly gods that walk this earth. it is because of men and women like you that I am alive. a very heartfelt (pun intended) thank you!

[tinky246]

31 y/o? that's pretty young. any idea what pre-disposed this?

[founditnow54]

perhaps a previous coaractation and then repair.

[AdVikesAd]

My dad had this done, he was very lucky.

[founditnow54]

yes he was

[africabatic2]

In all. Graduating straight from high school. Being 17-18 years old. You do 4 years in bachelors of science. 22 years old. another 4 years in medical school 26 years old. and what is it, like 6 years of residency before you get your license? Some body plz explain in a reply?

[jesuistahmid]

yes... but don't expect to get into med school right after undergrad... especially if you're in Canada. Most people don't get in on the first try.

Residency ranges from 2-6 years depending on the specialty and more years depending on subspecialty

[vegetto456]

@africabatic2 There are different ways. I got into a 6 year program right out of highschool and am in my 4th year graduating in 2012. So I will be entering residency hopefully then, into either Urology or General Surgery.

[founditnow54]

That might be correct. I think surgical residency (just general surgery) lasts five years, and any surgeon, before entering a specilalty must complete the gen. surg. res. THEN, if you want to sub specialize you will go from a residency to a fellowship. the fellowships are usually like 1 - 3 years. after that is complete, you are pretty much autonomous. I believe you take a licensure exam upon graduation med. school and then usually the boards after the first year of residency....whew....hahaha

[FreddyA64]

This is amazing! I am a survivor of two aortic dissections in two weeks. My first was an acsending, second desending. My doctors were amazing and said I was a miracle patient. I lived around 14 hrs. before surgery. All my thanks to the University of Chicago cardiac team for saving my life.

[AorticDissection4Me]

I am an Aortic Dissection survivor (UK) from back in 2003. No warning - not overweight or hypertensive. Just WHAM! Through some great work by the NHS doctors at Kingston Hospital (diagnosis) and 10 hours amazing surgery at St George's Hospital in London - as well as my wife(!) I now have a new dacron aorta and titanium aortic heart valve. And - it can happen to anyone - so FOR any CHEST PAINS get to A & E / ER - fast!

My website accessed from my YouTube profile has the full story..

[rastan83]

I had an acending aortic aneurysm, and needed to replace it with a hemishield graft. Everything went fine (i'm only 25 yo) Is this the same graft? And is this structure as stable as an healthy aorta? I'm a retired athlete, but still in training - and always wondering about how hard I can press my body before anything takes damage.

[lamal3]

I had the exact same surgery as yours back in July of 08. I used to work out and be in very excellant shape so I'm not used to being not being able to excercise like I used to. Your doctor would advise you not to lift anything over 20 lbs at most so no exercise for sure.

[rastan83]

I've asked alot of doctors about this issue, and most of them tells me I can excercise as a normal person, but should avoid very hevy lifting, like 1 repitition max etc.(But i can lift heavy weights as long as i'm strong enough to lift them, I used to lift very heavy, so I'm still fairly strong). With that said, i'm mostly avoiding heavy lifting to be on the safe side, doing more cardiovascular, but I've even started grappling again (with som precautions taken), and so far, so good :)

[rastan83]

Doctors tells you different things, so if your not happy with the decision your doctor gave, then try a second opinion - and find some doctor that are educated in cardiology and preferable with good knowledge in excercise himself!

Best of luck!

[chriscdb1]

I had this injury from a car wreck. Had this surgery Aug 29 1992. Had three other major surgeries before the heart surgury. Lived 24 hours with this injury. Only 10 percent make it to the hospital. Rome Georgia USA

[nickcelmic]

I am a cardiologist and this video is very halpfull for our formation.

I belive this was very difficult but I am curious concerning the evolution of this patient (at 5 years)

[marineboy090]

where was this surgery done in the body? i heard the word cathader and i got curious.. thought cathaders were for the penis. (forgive my ignorance im only 17 and watchin outa curiosity) =)

[benshehzad]

A "catheter" is any tube that goes into any body part (penis, aorta, arteries).

No worries, I am ignorant about many things in life. No body was born all-educated.

Consider life a journey of learning and improving oneself.

BEst of Luck

[kevpa77]

i had this done exact surgery done but mine was a toal arch repair. plus i had an abdominal dissection also-not bad enough to warrant any type of intervention. 10 hour surgery had it done april of 08 @ university of pittsburgh medical center. very thankful to be alive. my surgeon was an absoloute god send!! if you have had this procedure and you get to see it done it is just amazing what you go through.

[jagenigma]

one thing, why did the surgeon make a hole in the graft?

wouldn't that weaken the structure of the graft?

[waldenhouse]

I had this operation in May 2008. Doing very well now, and thanks to Surgeons and Medical staff at Castle Hill Hospital Hull UK, for saving my life, I love you all.

[drzugo]

More videos like this (only for physicians) at symposier (.com)

[parri2000]

i had this operation done on the 8th September 2008 it involved Aorta Root replacement with Aortic Heart Valve replacement with a 23mm valve conduit and reimplantation of the Corony arteries. The operration lasted for 23 hours apparently i was told that i made history at the Leeds General Infirmary where i had the operation done (England).

[fairyangellove]

I am not quite sure if that was the same operation that I have undergone but on 01-31-09 I was put into emergency operation for an aortic dissection type a. I was told by my family that the surgeon said that I had only a 5% chance of survival. I am recovering but I am also still amazed as to what has transpired. But I have had people praying for me from here to Europe. I am a miracle I am told. It is not something I am used to hearing.

[parri2000]

Thank you yes it sounds like you had the same operation.Aortic Desection,This also known as a Bentall procedure

[benshehzad]

you are right. Very few live to reach the hospital. Of those who do reach hospital, not all live long enough or are stable enough to undergo this procedure.

Good that you are alive and kickin'.

REgards

[MultidragonX]

Isnt it amazing what they shove in our bodies?

[LukeSlomka]

dr are great, surgons do some amazing stuff

[xR0WDYx]

great work

[Nanatemu]

Wow!!! I'm just a viewer who is interested in what happens in our bodies and in what doctor's like you are able to do to save lives. I don't know whether I would be able to do a surgery like you, because I guess I would be to nervous. But what I ask my self is how you deal with your emotions if a person comes to death ...On the other side it has to be a great feeling when a patient gets healthy by your very own hands. Respect for your job. God bless you, your team and the operated ones.

[waldenhouse]

Dear all, you can see my narrative on how this occurred to me - on the PatientUK website. I have filed it under "Aortic Dissection and Cardiac Tamponade"

Regards, and Good Luck.

[GWalt22]

When doing echos we see the pre and post op so it is interesting to see the in between

[lina85148]

This technique has been popularised recently. There are many cases not amenable to the technique and have to be replaced. About the dissection in the descending aorta, it is important to have it followed up by ultrasound or CT angio, if there is any increase in size it WILL NEED TO BE STENTED with a stent graft. Keep Well

[Muchacholv]

My father died from aortic dissection.

Luckily I survived it when I was just 20. I think my surgery was a bit different from what I saw here, but I got the point of how difficult it was.

However, I had my aortha replaced with synthetic one and I still have the dissection in the descendin aorta, but because it has stabilized well itself, I was told that it's better not to do anything to it (no stents or something).

And also - thank you for this educational video.

[connie59do]

I am sorry about ur father and I hope you have made a excellent recovery. Did the doctor said there was a genetic component?

[Muchacholv]

My father died a long time ago - 20 years now;

And my recovery was as good as it could be - I live a normal life and there are practically no changes (except medication & restrictions to physical activities) to my everyday life.

What do you mean about the 'genetic component'?

The main reason for the dissection is considered the Marfan syndrome, however I have no typical visual symptoms.

[Lilchef4]

Thanks for the video. I will have to have this done on the 29th and feel a little more prepared.

[bassamakasheh]

Good Luck with your surgery. I'm sure all will go well. Let me know how you feel when all is done.

[roxas2034]

this is amazing i want to be a cardiac surgeon someday and it must feel good to save lives almost evereyday

[elude454]

yea i had this operation done in 05 and always wondered what they did 2 me thanks 4 the vid

[rblira2]

Thanks for posting this video and for your kind wish, doctor.

[rblira2]

Now this is where cardiac surgeon shines! Its a work of art...I wish you can be my doc for my heart in the future. ( If I will need one)

[bassamakasheh]

I sincerely hope you remain healthy and NEVER need anything like this.

[bugmanjarb]

wow incredible!!! My nephew just had this procedure done yesterday...ty for the vid...

[robsonmiranda]

Very nice. I appreciate this video. I'm a vascular surgeon with littlle experience in treating toracic aortic diseases and I think this video was very elucidative.

[gallantman44]

this happened to me, and the recovery is long and very painful.

[grenouil1970]

Hello,

Super ! Super !

Other videos, please...

Thank You

[jsarai]

Incredible...