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.
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.
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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