Di Eusanio Marco, Berretta Paolo, Cefarelli Mariano, Gatta Emanuele
Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.
Vascular Surgery Unit, Lancisi Cardiovascular Center, Ancona, Italy.
Eur J Cardiothorac Surg. 2020 Aug 1;58(2):389-391. doi: 10.1093/ejcts/ezaa070.
Staged replacement of the aortic arch and thoraco-abdominal aorta (TAA) with a frozen elephant trunk followed by TAA repair is a valuable treatment for patients with chronic TAA dissection. However, in patients with an unclampable descending thoracic aorta, the retrieval of the trunk can be problematic and the proximal stent graft-to-graft anastomosis technically challenging. Here we present our 'double layer' frozen elephant trunk technique to treat patients with TAA dissection.
采用带冰冻象鼻支架分期置换主动脉弓和胸腹主动脉（TAA），随后进行TAA修复，是治疗慢性TAA夹层患者的一种有效方法。然而，对于降主动脉无法阻断的患者，取出象鼻支架可能存在问题，并且近端支架移植物与移植物的吻合在技术上具有挑战性。在此，我们介绍我们的“双层”冰冻象鼻技术来治疗TAA夹层患者。
