Clinical analysis of surgical management for aortic dissection aneurysm in 265 cases
- VernacularTitle:外科治疗主动脉夹层265例临床分析
- Author:
Jianzhou GUO
1
;
Zhihong LIU
;
Yanyan MA
;
’an Jian YANG
Author Information
1. 深圳市孙逸仙心血管医院外科
- Keywords:
Aortic dissection aneurysm;
Surgical management
- From:
China Modern Doctor
2014;(14):141-143
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the surgical experience of surgical management for aortic dissection aneurysm. Methods A total of 265 patients with aortic dissection aneurysm were treated with surgical management and the surgi-cal approach were chosen according to the condition. Results There were 170 cases Stanford A ADAs and 95 Stanford B patients. After following-up for 6 to 12 months, of which 19 and 3 cases died, respectively, and in the survivals, whose CTA displayed artificial vessel were unobstructed,the endovascular stents were fixed well.The heart function re-covered to Ⅱ-Ⅰ stage. Conclusion Surgery is an important method to save the patients with aortic dissection a-neurysm,the choice of surgical procedures depend on the location of intimal tear of aortic dissection. Proper surgical indication,technique and brain protections are the key factors of aortic dissection surgery. EVGE is a minimally inva-sive,effective,safe surgery in treating Stanford type B aortic dissection aneurysm.