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全主动脉弓置换联合冰冻象鼻技术治疗急性复杂型 B 型主动脉夹层

Total Arch Replacement and Frozen Elephant Trunk for Acute Complicated Type B Dissection.

机构信息

Division of Cardiac Surgery, Massachusetts General Hospital, Boston, Massachusetts.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Massachusetts.

出版信息

Ann Thorac Surg. 2020 Sep;110(3):e213-e216. doi: 10.1016/j.athoracsur.2019.12.077. Epub 2020 Feb 18.

DOI:10.1016/j.athoracsur.2019.12.077
PMID:32084375
Abstract

The current management of acute complicated type B aortic dissection is a combination of medical therapy and endovascular repair. Endovascular repair is not feasible when the dissection extends into the aortic arch. We describe 3 patients with acute type B aortic dissection complicated by retrograde arch extension and visceral malperfusion who were successfully treated with a total arch replacement and frozen elephant trunk.

摘要

目前，急性复杂型 B 型主动脉夹层的治疗方法是将药物治疗和血管内修复相结合。当夹层延伸至主动脉弓时，血管内修复是不可行的。我们描述了 3 例急性 B 型主动脉夹层合并逆行弓部扩张和内脏灌注不良的患者，他们成功地接受了全主动脉弓置换和冷冻象鼻手术治疗。

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Total Arch Replacement and Frozen Elephant Trunk for Acute Complicated Type B Dissection.全主动脉弓置换联合冰冻象鼻技术治疗急性复杂型 B 型主动脉夹层
Ann Thorac Surg. 2020 Sep;110(3):e213-e216. doi: 10.1016/j.athoracsur.2019.12.077. Epub 2020 Feb 18.
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Total arch replacement and frozen elephant trunk for acute type A aortic dissection.全主动脉弓置换加冷冻象鼻技术治疗急性 A 型主动脉夹层
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Retrograde Ascending Dissection After Thoracic Endovascular Aortic Repair Combined With the Chimney Technique and Successful Open Repair Using the Frozen Elephant Trunk Technique.胸主动脉腔内修复术联合烟囱技术后发生逆行性夹层分离，采用冰冻象鼻技术成功进行开放修复。
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引用本文的文献

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Hybrid Treatment of Complex Diseases of the Aortic Arch and Descending Thoracic Aorta by Frozen Elephant Trunk Technique.应用冰冻象鼻技术杂交治疗主动脉弓及胸降主动脉复杂疾病
J Clin Med. 2023 Sep 1;12(17):5693. doi: 10.3390/jcm12175693.
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Surgical and endovascular repair for type B aortic dissections with mesenteric malperfusion syndrome: A systematic review of in-hospital mortality.伴有肠系膜灌注不良综合征的B型主动脉夹层的手术及血管腔内修复术：住院死亡率的系统评价
JTCVS Open. 2022 Aug 8;12:37-50. doi: 10.1016/j.xjon.2022.07.012. eCollection 2022 Dec.
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Use of the angioscope for aortic endovascular repair.
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