中国体外循环杂志2011，Vol.9Issue(2)：68-70,92,4.
Stanford A型主动脉夹层的外科治疗
Surgical treatment of Stanford type A aortic dissection
谷小卫 1裴琳 1董自超 1浮志坤1
作者信息
- 1. 454003,焦作,解放军第91中心医院心胸外科
- 折叠
摘要
Abstract
OBJECTIVE To explore the surgical experience, timing of operative intervention, technique and clinical effects of surgical treatment for Stanford type A aortic dissention. METHODS The clinical materials and methods of operation were retrospectively reviewed for 26 patients with Stanford type A aortic dissection from Jan. 2004 to Jan. 2010. Replacement of the ascending aorta and the aortic root ( Bentall operation ) was performed in 9 cases, replacement of the ascending aorta in 5, replacement of the ascending aorta and total aortic arch combined with stented elephant trunk implantation technique in 8 and replacement of the ascending aorta and half aortic arch in 4. RESULTS There were 3 early postoperative deaths because of severe arrhythmia, multiple organ failure or brain death combined with circulatory failure. The other postoperative complications were respiratory failure ( 2 cases ), bleeding ( 3 cases ), acute renal failure ( 2 cases ) and delayed recovery ( 1 case ). There were 2 later deaths and other 16 patients had good life quality during 2 months to 5 years follow - up for 18 patients. CONCLUSION Surgical treatment is critical for Stanford type A aortic dissention to reduce the mortality. The main principle of surgical therapy is to resect the tear and the aortic segment at risk, repair the dissected intima, replace or reconstruct the aorta with composite graft and simultaneously deal with the valve and myocardial ischemia disease. It can provide patients with effective treatment and reduce the mortality rate to choose a proper procedure depending on the diseased segment of the aortic and the condition of aortic valve and root.关键词
主动脉夹层/Stanford A型/人工血管置换Key words
Aortic dissention/ Stanford Type A/ Prosthetic vessel replacement分类
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谷小卫,裴琳,董自超,浮志坤..Stanford A型主动脉夹层的外科治疗[J].中国体外循环杂志,2011,9(2):68-70,92,4.
