Clinical observation of 14 cases of patients with acute aortic dissection with individualized surgery
LIU Rihui
DING Ying
YANG Junbo
CHEN Jiajun
NIE Ronghua
Abstract：Objective To summarize the efficacy of surgical treatment of acute aortic dissection .Mtehods 14 pa-tients with acute aortic dissection were underwent aortic CT angiography ( CTA) ,and MR examinations , these patients inclu-ding acute Stanford A dissection of six cases , the complexity of Stanford B dissection of one case , underwent open surgery with deep hypothermic circulatory arrest;7 patients with complicated Stanford type B dissection , were underwent twos-tage hybrid surgery.Resul ts 14 patients were discharged , no perioperative deaths .Postoperative complications occurred in 10 patients were cured after symptomatic treatment .Outpatient follow-up after 3 to 24 months, all patients were reported with no signs of brain and limb ischemia .Follow up CTA shows aortic graft patency , no anastomotic stenosis or leakage , endovascular stent leakage and no significant shift .All patients with good quality of life .Conclusion For patients with acute aortic dissection should be based on the condition, lesion location and rupture point , design individualized surgical , and perform surgical treat-ment as soon as possible , and surgery can improve the success rate;during circulatory arrest , selective cerebral perfusion can be effective reducing the central nervous system complications .
Keywords：Aortic dissectionSurgical therapyHybrid techniqueEndovascular repair
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 118-120,123 )