Salhab Khaled, Gioia William, Rabenstein Andrew P, Gubernikoff George, Schubach Scott
Department of Thoracic and Cardiovascular Surgery, NYU Winthrop Hospital, Mineola, New York.
Department of Surgery, Stony Brook University Hospital, Stony Brook, New York.
Aorta (Stamford). 2018 Aug;6(4):98-101. doi: 10.1055/s-0039-1679870. Epub 2019 Mar 8.
The model of surgery first and always for Type A aortic dissections has continued to evolve. During the last three decades, various studies have demonstrated that in select patients, surgery should be delayed or avoided. This case series examines three cases in which patients were medically treated. Furthermore, we review the literature and when surgery should be delayed for acute Type A aortic dissections.
对于A型主动脉夹层,始终优先进行手术的模式一直在不断演变。在过去三十年中,各种研究表明,在特定患者中,手术应推迟或避免。本病例系列研究了三例接受药物治疗的患者。此外,我们回顾了文献以及急性A型主动脉夹层手术应何时推迟。