Inoue T, Kawada K, Soma Y, Yozu R, Misumi T
Department of Surgery, School of Medicine, Keio University, Tokyo, Japan.
Keio J Med. 1990 Jun;39(2):69-74. doi: 10.2302/kjm.39.69.
We have proposed calling dissecting aortic aneurysm with entry of the dissection in the aortic arch "arch-type". We described the procedures and results of surgery for 12 cases of this disorder. The dissection was localized (type a) in six cases, and extended (type b) in the other six. Seven cases were treated by patch or direct closure of the entry, with one operative death and two later deaths. Five cases were treated by reconstruction of the ascending aorta and the aortic arch with a prosthetic graft, with two operative deaths and one later death. Efforts must be directed towards improving the outcome of the latter operation.
我们提议将夹层分离进入主动脉弓的主动脉夹层动脉瘤称为“弓型”。我们描述了12例这种疾病的手术过程及结果。6例夹层分离局限（a型），另外6例为扩展型（b型）。7例采用补片或直接封闭入口进行治疗，1例手术死亡，2例后期死亡。5例采用人工血管重建升主动脉和主动脉弓，2例手术死亡，1例后期死亡。必须致力于改善后一种手术的效果。
