...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of cardiac surgery. >Total arch replacement with stented elephant trunk technique: a proposed treatment for complicated Stanford type B aortic dissection.
【24h】

Total arch replacement with stented elephant trunk technique: a proposed treatment for complicated Stanford type B aortic dissection.

机译：支架置入的大象躯干技术进行全弓置换：一种建议的复杂斯坦福B型主动脉夹层的治疗方法。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVES: The treatment of Stanford type B aortic dissections involving the arch or associated with proximal aortic aneurysms remains a surgical challenge. We report our results with total arch replacement with the stented elephant trunk (SET) procedure for these complicated Stanford type B aortic dissections. METHODS: Between December 2003 and June 2008, 31 patients were admitted for complicated type B dissection (12 acute, 19 chronic). The mean age at operation was 44.3 +/- 10.6 years (range: 22-68 years). The surgeries were performed by using total arch replacement combined with SET implantation. Enhanced computed tomography (CT) was performed before discharge as well as 3 months and annually to evaluate the condition of the graft and the residual false lumen. RESULTS: The procedure was successful in all but two patients; two patients died of multiple organ failure following surgery. No paraplegia was observed after surgery. Follow-up was completed in 27 of 29 patients and the mean follow-up period was 18.4 +/- 12.3 months (range: 6-54 months). During follow-up CT scans, thrombus formation was observed in the descending aortic false lumen excluded by the stented graft in most patients. One patient died during follow-up while two patients with Marfan syndrome underwent successful operations for replacement of the remaining descending and abdominal aorta. CONCLUSION: Total arch replacement with the SET procedure has emerged as a viable option for complicated type B dissections and is associated with low morbidity and mortality. At mid-term follow-up, most patients have either thrombosed or have had no further increase in the false lumen of the descending aorta.
机译：目的：斯坦福B型主动脉夹层的治疗涉及弓形或伴有近端主动脉瘤，这仍然是外科手术的挑战。对于这些复杂的斯坦福B型主动脉夹层，我们报告了用带支架的大象躯干（SET）进行全弓置换的结果。方法：2003年12月至2008年6月，共收治31例复杂的B型清扫术（12例急性，19例慢性）。手术的平均年龄为44.3 +/- 10.6岁（范围：22-68岁）。通过使用全弓置换结合SET植入术进行手术。出院前以及每年3个月进行增强计算机断层扫描（CT），每年进行一次，以评估移植物的状况和残留的假管腔。结果：除两名患者外，该手术均成功。两名患者在手术后死于多器官功能衰竭。手术后未观察到截瘫。 29例患者中有27例完成了随访，平均随访时间为18.4 +/- 12.3个月（范围：6-54个月）。在后续的CT扫描中，在大多数患者中，在被支架植入物排除的降主动脉假管腔中观察到血栓形成。一名患者在随访中死亡，而两名患有马凡氏综合症的患者接受了成功手术，以替换剩余的降主动脉和腹主动脉。结论：SET手术全弓置换术已经成为复杂的B型解剖的可行选择，并具有较低的发病率和死亡率。在中期随访中，大多数患者血栓形成或降主动脉假管腔没有进一步增加。

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