斯坦福 A 型逆行性主动脉夹层非体外循环下主动脉包裹术后升主动脉支架置入术
Ascending Aorta Stenting After Off-Pump Aortic Wrapping in Stanford A Retrograde Aortic Dissection.
作者信息
Verscheure Dorian, Ramadan Ramzi, Azmoun Alexandre, Guihaire Julien, Angel Claude, Brenot Philippe, Deleuze Philippe
机构信息
Department of Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis-Robinson, France.
Department of Cardiac Surgery, Marie Lannelongue Hospital, Le Plessis-Robinson, France.
出版信息
Ann Thorac Surg. 2017 Aug;104(2):e115-e117. doi: 10.1016/j.athoracsur.2017.02.038.
We report 4 cases of off-pump ascending aorta wrapping combined with ascending aorta stenting in retrograde Stanford A acute aortic dissection (SAAD). Since 2008, 18 patients have undergone wrapping of the ascending aorta at our institution. Four patients had a persistent circulating false lumen in the ascending aorta after wrapping, with a threat to the aortic root. We chose an endovascular approach with ascending aorta stenting. Follow-up computed tomography showed a reapplication of the intimal flap in the reinforced aorta. Ascending aorta stenting after aortic wrapping for retrograde SAAD is a safe and efficient technique to prevent proximal progression of the dissection.
我们报告了4例逆行性斯坦福A型急性主动脉夹层（SAAD）患者行非体外循环升主动脉包裹术联合升主动脉支架置入术的病例。自2008年以来，我院有18例患者接受了升主动脉包裹术。4例患者在包裹术后升主动脉内存在持续的循环假腔，对主动脉根部构成威胁。我们选择了升主动脉支架置入的血管内治疗方法。随访计算机断层扫描显示强化主动脉内膜瓣重新贴合。对于逆行性SAAD，在主动脉包裹术后行升主动脉支架置入术是一种预防夹层近端进展的安全有效的技术。
Zotero 插件