Carpentier A, Deloche A, Fabiani J N, Chauvaud S, Relland J, Nottin R, Vouhé P, Massoud H, Dubost C
J Thorac Cardiovasc Surg. 1981 May;81(5):659-68.
With the aim of decreasing the complications and mortality associated with the current techniques for aortic dissections, we have developed an operation which consists of bypassing the dissected aorta and creating flow reversal in the dissected segment. Seven patients with either acute (five) or chronic aortic dissections (two) were operated upon successfully, with no early or late deaths. Three transient postoperative complications were encountered: low cardiac output, hemiparesis, and renal insufficiency. Postoperative arteriography was performed in five patients and demonstrated exclusion of the dissected lesions by thrombosis following flow reversal in the descending aorta. Follow-up is available from 2 to 28 months (average 13 months), with no long-term complications.
为了降低与当前主动脉夹层技术相关的并发症和死亡率，我们开发了一种手术方法，该方法包括绕过夹层主动脉并在夹层段实现血流逆转。7例急性（5例）或慢性主动脉夹层（2例）患者手术成功，无早期或晚期死亡。术后出现3例短暂并发症：低心输出量、偏瘫和肾功能不全。5例患者进行了术后动脉造影，结果显示降主动脉血流逆转后血栓形成，夹层病变被排除。随访时间为2至28个月（平均13个月），无长期并发症。
