Costillo-Sang Mario, Moon Marc
Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, USA.
Mo Med. 2012 Jul-Aug;109(4):295-300.
Thoracic aortic diseases that require surgical management include aneurysms of the root, ascending, arch or descending aorta; aortic dissections and thoracoabdominal aneurysms. These pathologic processes encompass acute and chronic presentations. Early detection is the key to positively affect survival. The final treatment for these pathologies is surgical but medical therapy can prevent disease progression and many times obviate the need for surgery. In this article, we review the most common thoracic aortic diseases and their management.
需要手术治疗的胸主动脉疾病包括主动脉根部、升主动脉、主动脉弓或降主动脉的动脉瘤;主动脉夹层和胸腹主动脉瘤。这些病理过程包括急性和慢性表现。早期检测是积极影响生存率的关键。这些疾病的最终治疗方法是手术,但药物治疗可以预防疾病进展,并且很多时候可以避免手术的需要。在本文中,我们回顾了最常见的胸主动脉疾病及其治疗方法。