...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Case Reports in Vascular Medicine >Hybrid Strategy for Residual Arch and Thoracic Aortic Dissection following Acute Type A Aortic Dissection Repair
【24h】

Hybrid Strategy for Residual Arch and Thoracic Aortic Dissection following Acute Type A Aortic Dissection Repair

机译：急性A型主动脉夹层修复术后残余弓和胸主动脉夹层的混合策略

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Progressive dilatation of the false lumen in the arch and descending aorta has been encountered in one-third of survivors as a late sequelae following repair of ascending aortic dissection. Conventional treatment for the same requiring cardiopulmonary bypass and deep hypothermic circulatory arrest is associated with high morbidity and mortality especially in the elderly cohort of patients. Herein we report a case of symptomatic progressive aneurysmal dilatation of residual arch and descending thoracic aortic dissection following repair of type A aortic dissection, successfully treated by total arch debranching and ascending aortic prosthesis to bicarotid and left subclavian bypass followed by staged retrograde aortic stent-graft deployment. This case report with relevant review of the literature highlights this clinical entity and the present evidence on its appropriate management strategies. Close surveillance is mandatory following surgical repair of type A aortic dissection and hybrid endovascular procedures seem to be the most dependable modality for salvage of patients detected to have progression of residual arch dissection.
机译：在修复升主动脉夹层的后遗症中，三分之一的幸存者遇到了弓和降主动脉中假管腔的逐渐扩张。对于需要进行体外循环和深低温循环性停搏的患者，常规治疗与高发病率和高死亡率相关，尤其是在老年患者中。在此我们报道一例对A型主动脉夹层修复后残留弓的症状性进行性动脉瘤扩张和胸主动脉降主动脉夹层扩张的病例，成功地通过全弓脱支和升主动脉假体行双盲节和左锁骨下旁路术，然后分阶段逆行主动脉支架植入术成功治疗部署。该病例报告以及相关文献综述突出了该临床实体及其适当管理策略的当前证据。手术修复A型主动脉夹层后必须进行严密监视，而混合血管内手术似乎是挽救发现残留弓形夹层进展的患者最可靠的方法。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号