Czerny Martin, Kreibich Maximilian, Morlock Julia, Kondov Stoyan, Scheumann Johannes, Schröfel Holger, Kari Fabian A, Berger Tim, Siepe Matthias, Beyersdorf Friedhelm, Rylski Bartosz
Department of Cardiovascular Surgery, University Heart Center Freiburg-Bad Krozingen, Freiburg, Germany.
Albert Ludwigs University, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
J Vis Surg. 2018 Jan 17;4:14. doi: 10.21037/jovs.2017.12.06. eCollection 2018.
"" This motto still remains the most important directive. However, also depending onto the extent of the underlying pathology and consecutively depending onto the extent of primary surgery, there is and will be need for additional classical surgical or interventional treatment sooner or later during follow-up in a substantial number of patients having had surgery for acute type A aortic dissection. This article shall guide the interested reader through the underlying mechanisms as well as treatment options in patients with chronic type B "residual" after type A repair and shall finally suggest preventive strategies to reduce the occurrence of this pathology to a minimum.
这条座右铭仍然是最重要的准则。然而，同样取决于潜在病理状况的程度，并进而取决于初次手术的范围，在大量接受急性A型主动脉夹层手术的患者的随访过程中，迟早会有相当数量的患者需要额外的传统手术或介入治疗。本文将引导感兴趣的读者了解A型修复术后慢性B型“残余”患者的潜在机制以及治疗选择，并最终提出预防策略，以将这种病理状况的发生率降至最低。
