A simplified clinical analysis of surgery in the treatment of acute Stanford type A aortic dissection in the stented elephant trunk fenestration
PANG Feng
CHEN Xing-peng
Abstract：Objective To study the clinical effect of stented elephant trunk fenestration and simplifying the operation in the treatment of acute Stanford type A aortic dissection.Methods 78 cases of acute A type Stanford aortic dissection in our hospital from January 2010 to January 2017 were selected and divided into the observation group and the control group according to the different treatment methods.The patients in each group were 39 cases.The observation group were treated by simplified total arch rep]acement with stented elephant trunk surgery treatment,the control group was treated with total arch replacement with stented elephant trunk surgery treatment,the clinical efficacy of the two groups were compared.Results The two groups of patients were successfully completed surgery,no patient died during the operation.The observation group of patients with cardiopulmonary bypass time (147 ±27)min,clamping time (78 ± 12)min,mechanical ventilation time (12±4)h,ICU stay (1.8 ±0.9)d and hospital stay (13±2) d were significantly shorter than the control group [cardiopulmonary bypass time (184 ±23) m in,clamping time(102±13)min,mechanical ventilation time(20±4)h,ICU stay(3.1±0.7)d and hospital stay (16±3)d](P＜0.05);postoperative complications of the observation group 2.56％ was significantly lower than the control group15.38％(P＜0.05).Conclusion The simplified stented elephant trunk fenestration operation in the treatment of acute Stanford type A aortic dissection,patients can shorten the CPB time,clamping time,mechanical ventilation time,ICU stay time,reduce the incidence of postoperative complications and recent clinical curative effect is better.
Keywords：Acute Stanford type A aortic dissectionTotal arch replacementSimplified total arch replacementStented elephant trunk implantation window
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 999-1001 )