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A new and forgotten indication for aortic fenestration.

机译:一种新的且被遗忘的主动脉开窗适应症。

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摘要

Surgical aortic fenestration for acute aortic dissection was first described by Shaw1 in 1955. Since then, it has rapidly been surpassed in use by percutaneous fenestration. Williams et al.2 first reported this technique and described two indications: to treat malperfusion syndromes and to provide a re-entry tear for a "dead-end" false lumen. The latter indication was stated as hypothetical in order to prevent thrombosis (and subsequent branch vessel compromise) or extension of the false lumen (and presumably risk of rupture).
机译:Shaw1在1955年首次描述了用于主动脉夹层的外科主动脉开窗术。自那时以来,经皮开窗术已迅速超过了外科开窗术的使用。 Williams等人[2]首先报道了这种技术,并描述了两种适应症:治疗灌注不良综合征和为“死角”假管腔提供再入眼泪。为了防止血栓形成(以及随后的分支血管受损)或假管腔延长(可能有破裂的危险),后一种适应症被认为是假设性的。

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