Limited vs. extended repair for acute type I aortic dissection: long-term outcomes over a decade in Beijing Anzhen Hospital  

作　　者：Su-Wei Chen Yu Chen Wei-Guo Ma Yong-Liang Zhong Zhi-Yu Qiao Yi-Peng Ge Gheng-Nan Li Jun-Ming Zhu Li-Zhong Sun 

机构地区：[1]Department of Cardiovascular Surgery,Beijing Aortic Disease Center,Beijing Anzhen Hospital of Capital Medical University,Beijing 100029,China [2]Beijing Institute of Heart,Lung and Blood Vessel Diseases,Capital Medical University,Beijing 100029,China.

出　　处：《Chinese Medical Journal》2021年第8期986-988,共3页中华医学杂志（英文版）

基　　金：the Natural Science Foundation of China(No.81970393);the Beijing Major Science and Technology Projects from the Beijing Municipal Science and Technology Commission(No.Z191100006619093).

摘　　要：To the Editor:For patients with acute DeBakey type laortic dissection,ascending aortic or hemiarch replacement can reduce the surgical time and save lives in critical situations.However,residual distal dissection increases the risk of dilatation,rupture,and death.[1] In contrast,total aortic arch replacement(TAR)with frozen elephant trunk(FET)implantation can minimize the need for re-intervention,[2] but may increase the risk of operative mortality,stroke,paraplegia,and other complications.Currently,the ques-tion of the optimal surgical strategy for acute DeBakey type I aortic dissection remains controversial owing to the scarcity of long-term follow-up data and the technical diversities among different institutions.

关 键 词：DISSECTION AORTIC ACUTE 

分 类 号：R654.2[医药卫生—外科学]