Surgical treatment of aortic coarctation associated type B aortic dissection

VernacularTitle:主动脉缩窄合并B型主动脉夹层的外科治疗
Author: Ningning LIU ; Lizhong SUN ; Yongmin LIU ; Junming ZHU
Publication Type:Journal Article
Keywords: Coarctation; Aortic dissection; Cardiac surgical procedures
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2015;31(5):290-292
CountryChina
Language:Chinese
Abstract: Objective To summarize the methods and results of surgical treatment of coarctation of the aorta associated with aortic dissection.Methods Analyzed the clinical data of 10 patients with aortic coarctation associated type B aortic dissection who underwent one-stage surgical repair between 2011 and 2013 in Anzhen Hospital.There were 7 males and 3 females with the age ranged from 23 to 56 years,average at 41.2 years.All patients were diagnosed by UCG and CTA.There are three key points to determine the operation method,diameter of the aortic arch and descending aorta,and the extent of dissection.Descending thoracic aortic replacement with short stented elephant trunk was performed in 3 patients,thoracic and abdominal aortic replacement in 1 patient,ascending-abdominal aorta bypass with arch or descending aortic ligature in 3 patients.Results One hospital death occurred(10％).There was no severe surgical complication.No death or reoperation occurred during follow up period.Conclusion Aortic coarctation associated type B aortic dissection is a rare and complex disease.Surgical treatment is an effective and safe method for the disease.