Zhu Kai, Lai Hao, Guo Changfa, Li Jun, Wang Chunsheng
Department of Cardiac Surgery, Zhongshan Hospital, Fudan University & Shanghai Institute of Cardiovascular Disease, Shanghai 200032, China.
J Thorac Dis. 2014 Dec;6(12):E252-4. doi: 10.3978/j.issn.2072-1439.2014.11.02.
Thoracic endovascular aortic repair (TEVAR) is an effective strategy for type B dissection. Retrograde ascending dissection (RAD) intra-TEVAR is a rare complication on clinic. In this case, a 48-year-old Chinese man with Stanford type B aortic dissection suffered acute RAD during the TEVAR. And palliative stent grafts placement was performed in a local hospital, which earned the time for transfer and subsequent total arch replacement surgery in Zhongshan Hospital Fudan University. This report suggests that the palliative strategy may be an option for RAD in some specific situation.
胸主动脉腔内修复术（TEVAR）是治疗B型主动脉夹层的有效策略。TEVAR术中逆行性升主动脉夹层（RAD）在临床上是一种罕见的并发症。在此病例中，一名48岁的中国男性斯坦福B型主动脉夹层患者在TEVAR术中发生急性RAD。当地医院进行了姑息性覆膜支架置入术，为转至复旦大学附属中山医院并随后进行全主动脉弓置换手术赢得了时间。本报告表明，在某些特定情况下，姑息性策略可能是治疗RAD的一种选择。
