Endovascular repair for retrograde type A aortic dissection with an entry tear in the descending aorta

VernacularTitle:破口位于主动脉弓降部的逆撕Stanford A型主动脉夹层的腔内修复治疗
Author: Chang SHU ; Tun WANG
Publication Type:Journal Article
Keywords: Aneurysm,dissecting; Stents; Endovascular repair
From: Chinese Journal of General Surgery 2013;28(12):911-914
CountryChina
Language:Chinese
Abstract: Objective To evaluate endovascular aortic repair for retrograde Stanford type A aortic dissection with an entry tear in the descending aorta.Methods From April 2006 to Dec 2012,31 patients with retrograde type A aortic dissection were treated with endovascular technique.22 patients had pleural effusion,14 patients had patent false lumen in the ascending aorta.Emergency operation was performed in 2 patients with acute right renal artery and right common iliac artery ischemia respectively.29 patients received endovascular treatment after 3 weeks conservative treatment.Chimney technique was used in 3 patients.Results All procedures were technically successful without severe complications.Ascending aorta recovered 1-3 months after operation.Pleural effusion subsided 3 days to 3 weeks after endovascular treatment.During follow-up of (31 ± 18) months,no severe complications developed,all the stent-grafts placed by chimney technique were patent.Conclusions Endovascular aortic repair can be used in the treatment of retrograde Stanford type A aortic dissection.Chimney technique can be used to reconstruct supra-aortic branches.