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三例急性A型主动脉夹层患者的医疗管理：病例系列及文献综述

Medical Management of Three Patients with an Acute Type A Aortic Dissection: Case Series and a Review of the Literature.

作者信息

Salhab Khaled, Gioia William, Rabenstein Andrew P, Gubernikoff George, Schubach Scott

机构信息

Department of Thoracic and Cardiovascular Surgery, NYU Winthrop Hospital, Mineola, New York.

Department of Surgery, Stony Brook University Hospital, Stony Brook, New York.

出版信息

Aorta (Stamford). 2018 Aug;6(4):98-101. doi: 10.1055/s-0039-1679870. Epub 2019 Mar 8.

DOI:10.1055/s-0039-1679870
PMID:30849777
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6408248/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac7/6408248/75702a4f4949/10-1055-s-0039-1679870-i170082-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac7/6408248/3a2ce90c9327/10-1055-s-0039-1679870-i170082-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac7/6408248/7888b82de6d0/10-1055-s-0039-1679870-i170082-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac7/6408248/75702a4f4949/10-1055-s-0039-1679870-i170082-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac7/6408248/3a2ce90c9327/10-1055-s-0039-1679870-i170082-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac7/6408248/7888b82de6d0/10-1055-s-0039-1679870-i170082-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ac7/6408248/75702a4f4949/10-1055-s-0039-1679870-i170082-3.jpg

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本文引用的文献

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Early and Late Outcomes of Surgical Repair for Stanford A Acute Aortic Dissection in Octogenarians.八旬老人 Stanford A 型急性主动脉夹层手术修复的早期和晚期结果
Circ J. 2016 Nov 25;80(12):2468-2472. doi: 10.1253/circj.CJ-16-0918. Epub 2016 Nov 1.
2
Presentation, Diagnosis, and Outcomes of Acute Aortic Dissection: 17-Year Trends From the International Registry of Acute Aortic Dissection.急性主动脉夹层的表现、诊断和结局：国际急性主动脉夹层注册研究 17 年趋势。
J Am Coll Cardiol. 2015 Jul 28;66(4):350-8. doi: 10.1016/j.jacc.2015.05.029.
3
Surgery for acute type A aortic dissection in octogenarians is justified.
80 岁以上老年急性 A 型主动脉夹层手术是合理的。
J Thorac Cardiovasc Surg. 2013 Mar;145(3 Suppl):S186-90. doi: 10.1016/j.jtcvs.2012.11.060. Epub 2012 Dec 23.
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Medical management of acute type A aortic dissection.急性A型主动脉夹层的药物治疗
Ann Thorac Cardiovasc Surg. 2009 Oct;15(5):286-93.
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Is surgery always mandatory for type A aortic dissection?
Ann Thorac Surg. 2006 Nov;82(5):1658-63; discussion 1664. doi: 10.1016/j.athoracsur.2006.05.065.
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Coma might not preclude emergency operation in acute aortic dissection.
Ann Thorac Surg. 2006 Apr;81(4):1348-51. doi: 10.1016/j.athoracsur.2005.09.076.
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Contemporary results of surgery in acute type A aortic dissection: The International Registry of Acute Aortic Dissection experience.急性A型主动脉夹层手术的当代结果：国际急性主动脉夹层注册研究经验
J Thorac Cardiovasc Surg. 2005 Jan;129(1):112-22. doi: 10.1016/j.jtcvs.2004.09.005.
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Dissecting aneurysm of the aorta: a review of 505 cases.主动脉夹层动脉瘤：505例病例回顾
Medicine (Baltimore). 1958 Sep;37(3):217-79. doi: 10.1097/00005792-195809000-00003.
9
Interval or permanent nonoperative management of acute type A aortic dissection.急性A型主动脉夹层的间歇性或永久性非手术治疗
Arch Surg. 1999 Apr;134(4):402-5; discussion 405-6. doi: 10.1001/archsurg.134.4.402.
10
Dissection of the ascending aorta after previous cardiac surgery: differences in presentation and management.既往心脏手术后升主动脉的解剖：临床表现和处理的差异
J Thorac Cardiovasc Surg. 1999 Feb;117(2):252-60. doi: 10.1016/S0022-5223(99)70420-4.