Idhrees Mohammed, Velayudhan Bashi
Institute of Cardiac and Aortic Disorders (ICAD), SRM Institutes for Medical Science (SIMS Hospital), Chennai, 600 026 India.
Indian J Thorac Cardiovasc Surg. 2022 Apr;38(Suppl 1):79-82. doi: 10.1007/s12055-021-01315-w. Epub 2022 Jan 29.
Acute type A aortic dissection (ATAAD), a surgical emergency, has high mortality and morbidity. More than half of the patients die within 2 weeks and the 30-day mortality is 90%. Frozen elephant trunk in ATAAD addresses the primary and secondary goals - resection of the primary tear in the ascending aorta and promoting remodelling in the downstream aorta. Though the literature supports this fact, in reality these literatures emerge from high-volume centres. But in the "real world" most of the ATAAD are operated on in the low-volume centres. Furthermore, in India, there are unique challenges including the financial burden, transport, emergent availability of the hybrid prosthesis and aortic supercentres.
急性A型主动脉夹层（ATAAD）是一种外科急症，具有很高的死亡率和发病率。超过一半的患者在2周内死亡，30天死亡率为90%。ATAAD中的“冰冻象鼻”技术可实现主要和次要目标——切除升主动脉的原发破口并促进下游主动脉重塑。尽管文献支持这一事实，但实际上这些文献均来自高容量中心。但在“现实世界”中，大多数ATAAD手术是在低容量中心进行的。此外，在印度，还存在包括经济负担、交通、混合假体的紧急供应以及主动脉超级中心等独特挑战。
