Surgical management of acute type A aortic dissection in complicated cases: experience with branch-first aortic arch replacement technique  

作　　者：Cun-Hua Su Wei Qin Wen Chen Jian Li Michael Carmichael Fu-Hua Huang Xin Chen 

机构地区：[1]Department of Thoracic and Cardiovascular Surgery,Nanjing First Hospital,Nanjing Medical University,Nanjing,Jiangsu 210006,China.

出　　处：《Chinese Medical Journal》2021年第8期978-980,共3页中华医学杂志（英文版）

基　　金：the grants from the Jiangsu Provincial Special Program of Medical Science(BE2017610);the Jiangsu Provincial Key Medical Discipline(Laboratory)(ZDXKA2016021).

摘　　要：Type A dissection involving the aortic arch remains an inherently lethal condition.Sun et at.[1] recommended total arch replacement combined with stented elephant trunk implantation as a new“standard”therapy for type A dissection involving repair of the aortic arch.Cannulation of the right axillary artery is used for cardiopulmonary bypass(CPB)and selective cerebral perfusion in this procedure.[1] However,this procedure may not be applied in some special cases,such as aberrant right subclavian arteries,serious involvement of the right subclavian artery,serious involvement of the right common carotid artery,and acute pericardial tamponade.The branch-first aortic arch replacement technique can adequately solve these problems.W e analyzed the surgical data and midterm follow-up outcomes of this technique.

关 键 词：DISSECTION AORTIC INVOLVEMENT 

分 类 号：R654.2[医药卫生—外科学]