Clinical experiencs of Sun's procedure in treatment of acute Stanford type B aortic dissection involving aortic arch
Qi Ruidong
Zhu Junming
Chen Lei
Li Chengnan
Qiao Zhiyu
Cheng Lijian
Ge Yipeng
Hu Haiou
Xia Yu
Xing Xiaoyan
Zheng Tie
Liu Yongmin
Sun Lizhong
Abstract：Objective To review experiences of Sun's procedure(total aortic arch replacement combined with stented "elephant trunk" implantation) in treatment of acute Stanford type B aortic dissection involving aortic arch.Methods Clinical data of 26 cases of acute Stanford type B aortic dissection with aortic arch involvement from February 2009 to December 2015 in Beijing Anzhen Hospital,Capital Medical University were retrospectively analyzed.Sun's procedure was performed using Cronus stented graft.Aortic remodeling was assessed through regular follow-up after operation.Results Mean cardiopulmonary bypass time,aortic cross-clamp time and selective antegrade cerebral perfusion time were (171 ± 43),(91 ± 26),(27 ± 8) min,respectively.Major postoperative complications included 2 cases of pericardial drainage,1 case of renal dysfunction and 1 case of gastrointestinal bleeding;1 case of cerebral infarction died in hospital;the in-hospital mortality was 3.8％.One case died during follow-up.During (44± 24)months of follow-up,distal stent-graft false lumen closure rate was 84.0％ (21/25);extending stent-graft false lumen closure rate was 60.0％ (15/25);aortic false lumen closure rate was 36.0％ (9/25) at diaphragm and 16.0％ (4/25) at celiac trunk.Conclusion Sun's procedure has good curative effect on acute Stanford type B aortic dissection involving aortic arch.
Keywords：Acute Stanford type B dissectionSun's procedure
Publication Date：2017-08-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：4( 1142-1145 )