Application of upper sternal mini-incision with debranching technique in Stanford B aortic dissection involving the arch
10.3760/cma.j.cn112434-20200311-00120
- VernacularTitle:胸骨上段小切口行去分支手术在Stanford B型主动脉夹层弓部受累患者中的应用研究
- Author:
Gang WU
;
Xiaoqing YAN
;
Li ZHANG
;
Xia GAO
;
Changbo XIAO
;
Yuxin CHEN
;
Xianghui ZHANG
;
Cong CUI
;
Yafei ZHANG
;
Kexiong SUN
;
Pingfan WANG
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(4):220-223
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and early and mid-term efficacy of upper sternal mini-incision with debranching technique in B aortic dissection involving the arch.Methods:18 patients with B aortic dissection involving the arch who were admitted into our center from November 2017 to January 2019 were enrolled, to evaluate the intraoperative and postoperative conditions, including special intraoperative treatment, time of operation、poseoperative drainage、time of use ventilators, time of staying in ICU, complications etc, 12-24 months follow-up were performed after operation.Results:No death occurred, 1 case with acute renal failure, 1 case with type I endoleak, 1 case with paraplegia occurred during hospitalization, 1 patient with sudden vomiting of blood 30 days after discharge from hospital who was found aortoesophageal fistula, underwent emergency surgery to replace thoracic aortic and repair esophageal fistula, all of them were cured and discharged, the rate of complication was 22.2%(4/18). none of the other patients had any phenomena such as agnail、distal rupture、twisted or displaced of the stents、ischemic of coronary artery、cerebrovascular accident, etc.Conclusion:The result of upper sternal mini-incision with debranching technique in B aortic dissection involving the arch is satisfied, the early and mid-term survival rate is significantly improved, the patient's prognosis are improved.
