Grasty Madison A, Lawrence Kendall
Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA 19104, USA.
J Clin Med. 2024 Dec 20;13(24):7794. doi: 10.3390/jcm13247794.
The prompt and appropriate management of acute type A aortic dissections is imperative for patient survival. Advances in medical technology have broadened the adjuncts available to treat the spectrum of pathology within this population. The role of medical management prior to surgical intervention and the components of operative management, including cannulation strategies, neuroprotection, and the extent of aortic intervention, have been explored in-depth within the literature. More recent work has identified novel open and endovascular techniques available to treat acute type A dissections. This review aims to summarize the literature, with a particular focus on innovation in cardiac surgery and its role in the care of this high-risk population.
对急性A型主动脉夹层进行及时且恰当的处理对患者生存至关重要。医学技术的进步拓宽了可用于治疗该人群各种病理情况的辅助手段。手术干预前的内科治疗作用以及手术治疗的组成部分，包括插管策略、神经保护和主动脉干预范围，已在文献中得到深入探讨。最近的研究已经确定了可用于治疗急性A型夹层的新型开放手术和血管内技术。本综述旨在总结相关文献，特别关注心脏外科的创新及其在这一高危人群护理中的作用。
