Roselli Eric E, Bakaeen Faisal G, Johnston Douglas R, Soltesz Edward G, Tong Michael Z
Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Aorta Center, Cleveland Clinic, Cleveland, OH, USA
Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Aorta Center, Cleveland Clinic, Cleveland, OH, USA.
Eur J Cardiothorac Surg. 2017 Jan;51(suppl 1):i35-i39. doi: 10.1093/ejcts/ezw338.
Considering the chronic and progressive nature of aortic dissection, operative planning must anticipate the need for later interventions. We have increasingly used a modified version of the frozen elephant trunk repair operation to treat these patients. We review the indications, considerations for planning, and important operative details for performing frozen elephant trunk repair for chronic aortic dissection.
Frozen elephant trunk repair is performed using selective antegrade brain perfusion, direct placement of commercially available stent grafts with suture fixation in the aortic arch, and proximal aortic replacement. Details are reviewed.
We have published details related to the excellent results for the frozen elephant trunk procedure in patients with chronic dissection.
The modified frozen elephant trunk repair is particularly well suited for patients with chronic aortic dissection who often require multiple operations to address their extensive disease.
鉴于主动脉夹层的慢性和进行性本质，手术规划必须预见到后续干预的必要性。我们越来越多地使用改良版的冰冻象鼻修复手术来治疗这些患者。我们回顾了慢性主动脉夹层行冰冻象鼻修复的适应证、规划考量以及重要的手术细节。
采用选择性顺行脑灌注、将市售带膜支架经缝合固定直接置于主动脉弓以及近端主动脉置换来进行冰冻象鼻修复。详细情况予以回顾。
我们已发表了有关慢性夹层患者冰冻象鼻手术卓越疗效的详细内容。
改良的冰冻象鼻修复特别适合慢性主动脉夹层患者，这类患者常常需要多次手术来应对其广泛病变。
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