Application of Open Triple-Branched Aortic Arch Stent Graft for Acute Stanford Type A Aortic Dissection

作者：Hua, Fei; Shen, Zhenya^*; Yu, Yunsheng; Ye, Wenxue; Huang, Haoyue

来源：Vascular and Endovascular Surgery, 2013, 47(2): 109-114.

DOI：10.1177/1538574412473184

• aneurysm
• aortic dissection
• vascular surgery
• stent graft
• Stanford type A

Objective: Complete documentation is provided outlining a process for surgical treatment of the ascending aorta using open triple-branched aortic arch stent grafts to treat acute Stanford type A aortic dissection based on clinical observations. Methods: A total of 34 patients underwent replacement of the ascending aorta or aortic root in combination with open placement of a triple-branched stent graft. Results: Mean cardiopulmonary bypass, mean myocardial ischemic, and selective cerebral perfusion times were 186 +/- 38, 101 +/- 27, and 39 +/- 11 minutes, respectively. Two deaths occurred during hospitalization. Of the remaining patients, postoperative computed tomography angiography confirmed that all implanted stent grafts were fully opened; however, the dissected aorta and false lumen size showed evidence of reduced thickness. Conclusions: This applies mainly to those who need extensive surgical reconstruction of the thoracic aorta with acute Stanford type A aortic dissection, and it can reduce cardiopulmonary bypass complexities of the traditional surgeries and potential complication.

• 出版日期2013-2
• 单位苏州大学