Aortic arch reconstruction for acute type A aortic dissection

doi:10.3969/j.issn.1006-7795.2015.03.002

Abstract

Abstract:

Acute type A aortic dissection involving the aortic arch remains an inherently lethal medical condition ever since it is known to us. Prompt diagnosis and proper treatment is urgently needed and supposed to significantly lower the mortality rate. Although open surgical repair is undoubtedly the mainstream technique now, high rate of postoperative mortality and morbidity has always been a formidable challenge. Along with the rapid development of the aortic surgery and cognition of the disease, a variety of approaches have been invented or introduced, mostly aiming at simplifying procedure, minimizing surgical trauma and improving prognoses at the same time. Apart from the conventional surgical operation, recently emerged Sun's procedure, open branched stent graft placement, hybrid procedure, and even the endovascular repair have been taken into consideration. However, the more choices we have, the more we come to realize that ideal techniques with the characteristics of stability, convenience, riskless, effectiveness and wide applicability remain to be pursued. Because of the complexity of aortic arch in aspects of anatomy, function and pathological changes, the appropriate approach for patients with type A dissection involving the aortic arch remains controversial. This article provides current information about strategies of aortic arch reconstruction used for acute type A aortic dissection by reviewing related publications as well as brief discussions.

Key words: aortic dissection, arch reconstruction, surgical operation, hybrid procedure, endovascular repair

CLC Number:

Sun Lizhong, Rong Tianhua. Aortic arch reconstruction for acute type A aortic dissection[J]. Journal of Capital Medical University, 2015, 36(3): 338-344.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2015.03.002

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2015/V36/I3/338

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