Hybrid aortic arch replacement for aortic arch disease
10.3760/cma.j.issn.1001-4497.2017.06.007
- VernacularTitle:Hybrid全弓置换术在主动脉弓部病变中的应用
- Author:
Ren WANG
;
Guoxing WENG
;
Qi XIE
;
Zhiqun CHEN
;
Jiayin BAO
;
Rongdong XIAO
;
Huan WANG
;
Zhi DOU
;
Fuzhen ZHENG
;
Wenlong CAI
;
Yuanxiang CHEN
- Keywords:
Aortic arch disease;
Stent;
Hybrid procedure
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2017;33(6):347-350
- CountryChina
- Language:Chinese
-
Abstract:
Objective we assessed our institutional outcomes of hybrid treatment for aortic arch disease with supra-aortic debranching and endovascular stent graft repair.Methods From March 2016 to November 2016,6 patients underwent Hybrid total aortic arch repair:1 had aortic arch pseudoaneurysm;1 had type Ⅲ aortic dissection;4 had aortic arch aneurysm because of hypotension,of whom 1 with aneurysm prerupture and 1 with Aortic intramural hematoma.Supra-aortic vessels were involved and high-risk for traditional operations in all patients.Bifurcated artificial vessels were used,main vessel was end-to-side anastomosed with ascending aorta.Branching vessel were end-to-end anastomosed with right innominate artery and left subclavian artery,end-to-side anastomosed with left common carotid artery.Then,stent graft was implanted into ascending aorta and aortic arch.All patients were followed postoperatively,with regularly contrast computed tomography angiogram (CTA) and echocardiography(discharge,three months,six months,and yearly).Results Hybrid procedure with supra-aortic debranching and endovascular stent graft repair were completed in all patients,technical success rate was 100％.There were no perioperative obvious morbidity and mortality,follow-up period were 2-9 months.1 patients had stroke during follow-up period,condition improved after treatment.Supra-aortic vessels were patency and there were no endoleak in all patients.There were no recurrent aortic disease during follow-up period.Conclusion Hybrid aortic arch replacement can be performed with good postoperative and early results in high-risk patients for traditional open repair.
