B型夹层直视支架象鼻手术.ppt

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1、One-stage repair for Stanford Type B Aortic Dissection concomitant with cardiac diseases Open stented elephant trunk technique combined with cardiac operation,Lizhong Sun M.D. Anzhen Hospital of Capital Medical University Beijing Aortic Disease Centre,Patients with both type B Aortic dissection and

2、cardiac diseases,Background,What is the BEST therapeutic strategy?,Patients and Materials,Time: Apr. 2007 Mar. 2010 Patiens Number:16 Type B AoD with cardiac disease Mean Age:49.7513.42 years (range 17-64 years) Gender:12 male, 4 female Maximal Diameter:5.430.88cm (range 4.2-7.7cm) Phase: 3 Acute,13

3、 Chronic Cardiac diseases:5 AI,4 ARA,6 AAA,2 MI,3 AAD 1 TI,1 ASD,2 Marfan,AI: aortic valve insufficiency; MI: mitral valve insufficiency; AAA: ascending aortic aneurysm; TI: tricuspid valve insufficiency; ASD: atrial septal defect; AAD: ascending aortic dilation,ARA: aortic root aneurysm,Operative T

4、echniques,ACP via RAxA,Stented graft,Bentall procedure,ACP: antegrade cerebral perfusion, RAxA: right axillarry artery,Operative Techniques,AAo: ascending aorta, LSCA:left sunclavian artery, LCCA:left common carotid artery,AAo LSCA or LSCALCCA,Operative Techniques,LSCA was involved by aortic dissect

5、ion Alternative strategy,before surgery 3 months after surgery,3 urgent operations;13 elective operations Concomitant cardiac operations: 4 Bentall,2 Wheat,2 AVR+ AAo plasty, 4 AAo replacement,1 AVR,1 AAo plasty, 1 ASD repair+TVP+MVP,1 MVR,AAo: ascending aorta, AVR: aortic valve replacement, ASD: at

6、rium septal defect, MVR: mitral valve replacement, TVP: tricuspid valve plasty, MVP: mitral valve plasty,Results,Results,No perioperative deaths, No perioperative complications,Disscussion,Indications:complicated type B AoD with cardiac diseases complicated type B AoD involving distal arch Marfan pa

7、tients Advantages:easy for operating; less injuries; one-stage combined advantages of ET and TEVAR Technique cautions:suturing technique alternative strategy Research limitations:limited pts number retrospect research,AoD: aortic dissection, ET: elephant trunk, TEVAR: thoracic endovascular aortic repair,Conclusion,Open sET technique combined cardiac procedures can reliably treat Stanford type B AoD concomitant with surgical cardiac disease in single-stage,Thank You!,

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