主动脉瓣置换术后急性A型主动脉夹层的研究进展  

Research progress of acute type A aortic dissection after aortic valve replacement

作　　者：李浩超 陈鹏飞 赵狄铭 陈明剑 王立清 LI Hao-chao;CHEN Peng-fei;ZHAO Di-ming;CHEN Ming-jian;WANG Li-qing(Ward 2 of Structural Heart Disease Center,Chinese Academy of Medical Sciences Fuwai Hospital,100073 Beijng,China)

机构地区：[1]中国医学科学院阜外医院结构性心脏病二病区,北京市100073

出　　处：《中国心血管病研究》2024年第2期114-119,共6页Chinese Journal of Cardiovascular Research

基　　金：中国医学科学院医学科学创新基金(2021-1-I2M-016)。

摘　　要：主动脉瓣置换术后出现急性A型主动脉夹层的发生率较低,但预后凶险。了解病因和术前监测对预后起着重要作用。因此,在围手术期应明确危险因素、谨慎操作和积极预防。目前针对主动脉瓣置换术后的急性A型主动脉夹层患者诊疗尚无明确建议。本文综述近年来针对主动脉瓣置换术后急性A型主动脉夹层的研究,为主动脉瓣置换术后急性A型主动脉夹层的诊疗提供方向。The incidence of acute type A aortic dissection after aortic valve replacement is relatively low,but the prognosis is much poor.It is crucial to understand the causes and monitor the patients before surgery in order to improve the prognosis.Therefore,it is important to identify risk factors,perform carefully operations,and actively prevent complications during the perioperative period.Currently,there are no specific recommendations for the diagnosis and treatment of patients with acute type A aortic dissection after aortic valve replacement.This article aims to review recent studies on this topic and provide guidance for the diagnosis and treatment of acute type A aortic dissection after aortic valve replacement.

关 键 词：主动脉瓣置换术 急性A型主动脉夹层 再手术 研究进展 

分 类 号：R654.2[医药卫生—外科学]