Department for Adult Cardiac Surgery, S.V. Ochapowski Regional Hospital #1, Krasnodar, Russia.
Multimed Man Cardiothorac Surg. 2022 Feb 10;2022. doi: 10.1510/mmcts.2022.004.
Stanford type A acute aortic dissection is an inherently lethal condition that is regarded as a surgical emergency. The Bentall procedure is considered the gold standard for patients requiring aortic root replacement. However, this method can be technically difficult for less-experienced surgeons. Complications encountered after composite graft replacement include distortion of the proximal part of the coronary artery, bleeding from the conduit implant site, and reattached coronary artery origins caused in general by a consumption coagulopathy. In cases for which aortic valve preservation is not applicable and the root is not dissected or dilated, surgeons often opt for less complicated techniques like aortic valve and supracoronary ascending aortic replacement. Nevertheless, these patients carry a high risk of late aortic root dilatation and subsequent reoperation. The goal of aortic root reinforcement by the Florida sleeve technique is to encase the aortic root to prevent any further dilatation and perioperative bleeding.
斯坦福 A 型急性主动脉夹层是一种潜在致命的疾病，被视为外科急症。Bentall 手术被认为是需要主动脉根部置换的患者的金标准。然而，对于经验较少的外科医生来说，这种方法可能具有技术难度。复合移植物置换后出现的并发症包括近端冠状动脉扭曲、移植物植入部位出血以及再附着的冠状动脉起源，通常是由消耗性凝血病引起的。对于不适用主动脉瓣保留且根部未夹层或扩张的病例，外科医生通常选择更简单的技术，如主动脉瓣和冠状动脉以上升主动脉置换。然而，这些患者有发生晚期主动脉根部扩张和随后再次手术的高风险。佛罗里达套管技术的主动脉根部强化的目标是包裹主动脉根部，以防止进一步扩张和围手术期出血。
