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[Experience of Sun's procedure for chronic type B dissection with aortic arch involvement].
Qi, R D; Zhu, J M; Chen, L; Li, C N; Qiao, Z Y; Cheng, L J; Ge, Y P; Hu, H O; Xia, Y; Xing, X Y; Zheng, T; Liu, Y M; Sun, L Z.
Afiliación
  • Qi RD; Cardiovascular Surgery Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Aortic Disease Center, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China.
Zhonghua Yi Xue Za Zhi ; 97(24): 1867-1870, 2017 Jun 27.
Article en Zh | MEDLINE | ID: mdl-28648010
Objective: To study the surgical treatment of chronic type B dissection with aortic arch involvement using Sun's procedure. Methods: Between February 2009 and December 2015, 29 patients [20 males, 9 females, with a mean age of (41±12) years, range 24-64 years] with type B dissection with aortic arch involvement underwent Sun's procedure. Sixteen patient had a history of hypertension. Marfan syndrome was observed in 9 cases, coronary artery disease in 3 cases, mitral regurgitation in 3 patients, cerebrovascular disease in one patient. Twenty-two patients suffered proximal aortic arch disease, 4 cases experienced history of aortic root procedure and 2 subjects had history of pregnancy. Four patients had aortic arch malformation. Results: One case suffered from massive cerebral infarction after surgery and died in another hospital. Concomitant procedures included mitral valve replacement in 3 cases, coronary artery bypass grafting in 3 patients, reconstruction of the right aberrant subclavian artery in one patient. Ventilator support exceeding 24 hours obseved in 2 patients. One of them recieved continuous renal replacement therapy and recovered before discharge. Spinal cord injury was obseved in one case, brain infarction in one patient and pericardial drainage in one case. Two patients required tracheotomy. During 12-94 (43±23) months' follow-up, thoracoabdominal aortic replacment was performed in 4 patients, thoracic endovascular aortic repair (TEVAR) in 2 subjects and repair of perivalvular leakage in one patient. Conclusions: Sun's procedure obtained satisfactory results in patients with chronic type B dissection with aortic arch involvement. Concomitant repair of proximal aortic arch lesions and distal type B dissection can be adopted using Sun's procedure.
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Texto completo: 1 Base de datos: MEDLINE Asunto principal: Aorta Torácica / Aneurisma de la Aorta Torácica / Disección Aórtica Tipo de estudio: Observational_studies Idioma: Zh Revista: Zhonghua Yi Xue Za Zhi Año: 2017 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Aorta Torácica / Aneurisma de la Aorta Torácica / Disección Aórtica Tipo de estudio: Observational_studies Idioma: Zh Revista: Zhonghua Yi Xue Za Zhi Año: 2017 Tipo del documento: Article