1．Cabrol C, Pavie A. Mesnildrey P et al. Iong term results with total replacement of the ascending aorta and reimplantation of the cororary arter. J Thorac Cardiovasc Surg. 1986, 91:17~25.
2．Carpentier A, Deloche A, Fabiami JN et al. New surgical approach to aortic dissection: flow reversal and thromboexclusion. J Thorac Cardiovas Surg 1981,81:695~698.
3．Liotta D, Cabrol C, Cooley D et al. Derivation aortique a Distance et Exclusion de I’anevrisme, Ia Chirurgie Cardiaque d’aujourd’hui, Paris, Maloine s. a. editeur 1984,339~341.
Surgical Treatment of aortic dissection aneurysm in 33 cases
Yang chenyuan, Liu chenggui, Xiao shiliang et al
The Department of cardiac surgery, Union Hospital. Institute of cardiovascular disease of Tongji Medical college. Huazhong University of science and Technology, Wuhan 430022
[Abstract]
Objective: To review the surgical results and experience of aortic dissecting aneurysm in 33 cases.
Method: From Mar. 1993 to Dec 2003. 33 Patients with aortic dissecting aneurysm underwent Surgical Treatment. The procedure performed included 10 Cabrol’s operation. 8 Beutall’s procedures, one of Closure of dissection with aortic valvular plasty, and 13 of derivafion bypassing the dissected aorta.
Results: 31 of the 33 patients recovered uneventfully. There was 2 postoperative death with a mortality of 6%.
Conclusion: The modificaton of Cabrol operation could improve surgical outcome of type II aortic dissection aneurysm A selfblood infusion system bypass is created in case of hemostatic failure between right atrium and aneurismal sac sewn around the Dacron graft. For the Type III, Through the bypass graft shunt, the pressure and shear stress of blood flow in the false lumen were reduced and thus prevent the further developed and ruptured of the dissection. Blood flow in the true lumen was partially restored by the reversal flow and the size and extent of the falsa lumen was reduced, and then gradually closed. The good results, less invasive and less complications of great artery bypass, especially bilateral axillary artery ——femoral artery bypass had wide indication for repair of aortic dissection except aortic insufficiency. Specific for the comorbidities such as myocardial infarction and the deteriorate patients who did not suit for sternolaparotomy.
临床手记 循证医学 主动脉
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