Surgical treatment strategies of acute Stanford type A aortic dissection involving coronary artery based on Fuwai type and early clinical outcomes
10.3760/cma.j.issn.1001-4497.2018.11.001
- VernacularTitle:基于急性Stanford A型主动脉夹层累及冠状动脉阜外分型的外科治疗策略及早期临床结果分析
- Author:
Yanxiang LIU
1
;
Yan LI
;
Yi SHI
;
Shenghua LIANG
;
Xiaogang SUN
Author Information
1. 100037,中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院血管外科中心
- Keywords:
Aortic dissection;
Coronary artery involved;
Fuwai type
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(11):641-645
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the surgical treatment strategy of acute type A aortic dissection involving coronary artery on the basis of Fuwai type and evaluate the clinical efficacy. Methods 50 patients with coronary involvement were retrospec-tively analyzed from April 2014 to August 2016. The treatment mothod was based on Fuwai type,mainly including coronary ar-tery repair(CAR)and coronary artery bypass grafting(CABG). The clinical effect of this surgical strategy in the perioperative and follow-up period was analysed. Results A total of 50 patients were included. Of which,38 patients were treated with CAR, 12 patients CABG,including 3 remedial bypass and 2 prophylactic bypass. All patients were followed up from 4 to 32 months,with an average time of 18. 6 months. In group CABG, 1 patient died of multiple organ failure after surgery,and the other patients had no major adverse cardiovascular events and deaths during perioperative period and follow-up period. Conclu-sion This strategy for the treatment of involved coronary arteries based on the Fuwai type has some guiding significance on the surgical treatment of acute type A aortic dissection.
