Clinical application of double-ring sandwich method in the root of acute A-type aortic dissection
10.3969/j.issn.1005-6483.2024.08.015
- VernacularTitle:双环三明治法在急性A型主动脉夹层根部吻合中的临床应用
- Author:
Weiliang LIU
1
;
Xuening WANG
;
Pu DUAN
;
Lingbo YANG
Author Information
1. 030032 山西白求恩医院(山西医学科学院),山西医科大学第三医院;同济山西医院,心脏大血管外科
- Keywords:
acute A-type aortic dissection;
sandwich procedure;
root of aortic dissection;
clinical application
- From:
Journal of Clinical Surgery
2024;32(8):836-839
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the efficacy and safety of double-ring sandwich procedure in the treatment of acute A-type aortic dissection root.Methods The clinical data of 103 patients with acute A-type aortic dissection treated by double-ring sandwich procedure in our center from October 2020 to May 2023 were retrospectively analyzed to investigate the surgical effect,short-term cardiac structural changes and short-term postoperative complications.Results Needle hemostasis was applied in 11.65％of all patients.The amount of red blood cell transfusion during the perioperative period was(2.95±1.97)U,plasma was(543.68±208.48)ml,and blood platelet was(0.08±0.30)U.The residual aortic regurgitation,cardiac function and pericardial effusion were significantly improved at 2 weeks after operation(P＜0.05).The proportion of residual false lumen in the aortic root was significantly reduced after operation(P＜0.05).The length of hospital stay,duration of intubation,and drainage within 24 hours after surgery were less.The incidence of postoperative short-term complications such as secondary thoracotomy,cerebral infarction,cerebral hemorrhage,hemofiltration,tracheal incision and death was low.Conclusions Double-ring sandwich procedure in the treatment of acute A-type aortic dissection can effectively block the false lumen of aortic root dissection,reduce the risk of aortic intimal avulsion,and the operation is safe and effective.
