Cardiovascular surgery, Heart institute from the University of Sao Paulo, Brazil
Multimed Man Cardiothorac Surg. 2021 Mar 2;2021. doi: 10.1510/mmcts.2021.014.
We present a patient with an acute type A aortic dissection that involves the aortic root. The high mortality of patients with this condition is often associated with operations performed by surgeons with minimal experience dealing with aortic diseases. Therefore, less-experienced surgeons often opt for less complicated techniques like supracoronary ascending aortic replacement. However, according to the latest guidelines for the management of aortic diseases, the aortic root should be replaced when it is compromised by the dissection. The Bentall-de Bono technique treats the aortic root and demands less experience than valve-sparing aortic surgery.
我们呈现了一位急性 A 型主动脉夹层患者，该夹层累及主动脉根部。这种情况的患者死亡率通常较高，往往与手术医生在处理主动脉疾病方面经验不足有关。因此，经验较少的外科医生通常倾向于选择更简单的技术，如升主动脉置换术。然而，根据最新的主动脉疾病管理指南，当主动脉根部受到夹层影响时，应进行置换。Bentall-de Bono 技术可同时处理主动脉根部，且所需经验比保留瓣膜的主动脉手术更少。
