中国医学创新Issue(14)：143-144,145,3.DOI:10.3969/j.issn.1674-4985.2014.14.050
A型主动脉夹层行主动脉弓杂交修复术后远端夹层形成的原因分析及治疗
Distal Dissection after Hybrid Repair of Stanford Type A Aortic Dissection through Aortic Arch:Reason Analysis and Its Therapy
梁冰 1张挚 1赵辉 1李晓辉 1王朝阳 1施巩宁1
作者信息
- 1. 河南大学淮河医院 河南 开封 475000
- 折叠
摘要
Abstract
Objective:To analyze the cause of distal dissection after hybrid repair of Stanford type A aortic dissection(TAAD)through aortic arch and discuss its therapy.Method:The clinical data of 3 cases of TAAD treated by hybrid repair through aortic arch from March 2011 to September 2012 were retrospectively analyzed. All the 3 cases were found novel rupture in the distal end of arterial stent in postoperative regular review and received endovascular treatment. Result:Follow-up till to September 2013,there was no novel rupture in all the cases,true lumens were completely opened,and false cavity disappeared.Conclusion:Compared with traditional aortic arch replacement+stent elephant trunk procedure,hybrid repair through aortic arch simplified operation and reduced perioperative mortality,but with the development of this procedure,the complication that distal dissection formation should not be ignored. Sever complication implied this procedure should be improved and its benefit need more clinical advance.What’more,when complication occurred,endovascular repair still should be the first choice.关键词
A型主动脉夹层/主动脉弓杂交修复术/支架Key words
Stanford A aortic dissection/Hybrid repair through aortic arch/Stents引用本文复制引用
梁冰,张挚,赵辉,李晓辉,王朝阳,施巩宁..A型主动脉夹层行主动脉弓杂交修复术后远端夹层形成的原因分析及治疗[J].中国医学创新,2014,(14):143-144,145,3.
