巴楚医学2025，Vol.8Issue(2)：26-29,4.DOI:10.3969/j.issn.2096-6113.2025.02.004
改良"三明治"在根部受累Debakey Ⅰ型主动脉夹层中的应用
Application of Modified"Sandwich"in Root-Involved Debakey Type Ⅰ Aortic Dissection
摘要
Abstract
Debakey type Ⅰ aortic dissection is a life-threatening condition characterized by high surgical risk,significant postoperative complications,and elevated mortality.Involvement of the aortic root presents a major surgical challenge.Although root replacement remains the most definitive treatment for root involvement,it is technically complex and associated with substantial hemostatic difficulty.Aortic valve-sparing root reconstruction techniques,including aortic valve commissural suspension,external aortic wall inversion suturing,and the conventional"sandwich"technique,still pose challenges in achieving adequate hemostasis and carry the risk of residual false lumen in the aortic sinus.This study introduces a modified"sandwich"technique for managing Debakey type Ⅰ aortic dissection involving the aortic root.The approach preserves and reconstructs the anatomical structures of the aortic sinus,the sinotubular junction,and the aortic annulus,thereby maintaining native valve function.This technique facilitates effective exclusion of the dissected aortic sinus and improves hemostasis,resulting in favorable clinical outcomes.关键词
Debakey Ⅰ型主动脉夹层/主动脉瓣根部成形术/"三明治"技术Key words
Debakey type Ⅰ aortic dissection/aortic valve-sparing root reconstruction/"sandwich"technique分类
临床医学引用本文复制引用
刘朝兵,张松林,孙来龙,穆宝雪,晏明..改良"三明治"在根部受累Debakey Ⅰ型主动脉夹层中的应用[J].巴楚医学,2025,8(2):26-29,4.基金项目
2022年中央引导地方科技发展专项项目(2022BGE237) （2022BGE237）
