Cavozza Corrado, Regesta Tommaso, Campanella Antonio, Camporini Glauco, Audo Andrea
Department of Cardiothoracic and Vascular Surgery, Cardiac Surgery, Santissimi Antonio e Biagio Hospital, Alessandria, Italy.
Aorta (Stamford). 2021 Dec;9(6):235-237. doi: 10.1055/s-0041-1729919. Epub 2021 Dec 28.
Surgical management of aortic dissection is technically challenging for different reasons. Reapproximation of dissected layers because of fragility of the dissected aortic wall layers is of major concern. Many techniques have been described to restore the integrity of aortic wall. Inclusion of a partially resorbable mesh fixed with glue, between the dissected layers, may be a simple and effective method for providing a secure and viable end-to-end anastomosis between aortic stump and a Dacron graft.
由于多种原因,主动脉夹层的外科治疗在技术上具有挑战性。由于夹层主动脉壁各层的脆弱性,使夹层各层重新对合是主要关注点。已经描述了许多恢复主动脉壁完整性的技术。在夹层各层之间置入用胶水固定的部分可吸收网片,可能是在主动脉残端与涤纶移植物之间提供安全且可行的端端吻合的一种简单而有效的方法。