Bristol Heart Institute, University of Bristol, Bristol, UK.
J Card Surg. 2022 Jun;37(6):1661-1663. doi: 10.1111/jocs.16412. Epub 2022 Mar 27.
Acute type A aortic dissection is a life-threatening event that requires prompt management, a complex interaction among the timing of aortic surgical repair, presence or absence of organ malperfusion, and surgical outcomes exists. Whether resection of intimal entry tear should be deferred after reversal of malperfusion and end-organ ischemia is a matter of controversy. In fact, the timing of aortic repair should be considered within the clinical presentation and baseline characteristics of each patient. Moreover, every effort should be made to minimize times between symptom onset, diagnosis, and surgery.
急性 A 型主动脉夹层是一种危及生命的事件，需要及时进行治疗。主动脉手术修复的时机、器官灌注不良的存在与否以及手术结果之间存在着复杂的相互作用。在灌注不良和终末器官缺血得到逆转后，是否应该延迟切除内膜入口撕裂，这是一个存在争议的问题。事实上，主动脉修复的时机应根据每个患者的临床表现和基线特征来考虑。此外，应尽一切努力缩短从症状发作、诊断到手术的时间。
