Uchida Tetsuro, Shimazaki Yasuhisa, Uesho Kunihiro, Koshika Masataka, Takeda Fumihiro, Inui Kiyoshige, Watanabe Takao
Second Department of Surgery, Yamagata University School of Medicine, Japan.
Artif Organs. 2002 Dec;26(12):1052-5. doi: 10.1046/j.1525-1594.2002.07005_2.x.
This paper reviewed aortic root replacement with a stentless xenograft for Stanford Type A aortic dissection. Total aortic arch replacement plus aortic root reconstruction with a stentless xenograft was conducted in 2 patients with acute aortic dissection. In another 2 patients, aortic root replacement with a bioprosthesis was performed for chronic redissection of the aortic root which might be associated with the previous use of gelatin-resorcin-formalin glue. Full root replacement using this device is safe, reliable, reproducible, and technically less demanding. This device also provides a radical option for acute aortic dissection even in patients requiring concomitant aortic arch and root replacement.
本文回顾了采用无支架异种移植物进行主动脉根部置换治疗斯坦福A型主动脉夹层的情况。对2例急性主动脉夹层患者实施了全主动脉弓置换加无支架异种移植物主动脉根部重建术。另外2例患者因主动脉根部慢性再发夹层（可能与先前使用明胶-间苯二酚-甲醛胶有关）接受了生物假体主动脉根部置换术。使用该装置进行全根部置换安全、可靠、可重复，且技术要求较低。即使对于需要同时进行主动脉弓和根部置换的患者，该装置也为急性主动脉夹层提供了一种根治性选择。
