左侧锁骨下动脉受累的Stanford B型主动脉夹层26例临床分析  

The left subclavian artery involvement of Stanford type B aortic dissection of 26 cases of clinical analysis

作　　者：李淑珍[1] 李育敏[1] 刘志平[1] 张玉龙[1] 王坚[1] 李伟[1] 雷鹏[1] 赵明[1] 

机构地区：[1]内蒙古医科大学附属医院心脏大血管外科,呼和浩特010059

出　　处：《临床心血管病杂志》2016年第5期532-534,共3页Journal of Clinical Cardiology

摘　　要：腔内修复术于1999年应用于Stanford B型主动脉夹层的治疗,由于其安全性上的明显优势,使病死率和并发症大大降低,目前已成为治疗Stanford B型主动脉夹层首选方法。然而部分主动脉夹层由于解剖结构不适合直接行覆膜支架腔内修复术,如主动脉弓分支血管受累、近端锚定区不足15mm成为腔内治疗的难点。Twenty-six cases of Stanford type B aortic dissection with left subclavian artery involvement were retrospectively analyzed.No patients died,and 1case presented with acute left upper limb ischemia,1case with Horner syndrome 1week after operation,1case with proximal stent due to type A dissection agnail formation and1 case with immediate slightⅠtype of leakage.There were no spinal cord ischemia resulted paraplegia and stent related complications.No ischemic cerebral infarction and organ ischemia were found.

关 键 词：主动脉夹层 Stanford B型 杂交手术 近端锚定区 左侧锁骨下动脉 

分 类 号：R543.1[医药卫生—心血管疾病]