BENTALL semi-arch replacement surgery 1 case report.docVIP

 PAGE \* MERGEFORMAT 5 BENTALL semi-arch replacement surgery 1 case report [Keywords:] Aortic Dissection Bentall semi-arch replacement surgery A clinical data Patients, male, 37 years old, because of retrosternal pain, tearing-like radiation to the throat, 4 days hospitalization. Line MRI examination revealed: ascending aortic aneurysm, aortic dissection; CT three-dimensional reconstruction showing: ascending aorta and aortic root to the first wall cavity dry kind of see the line separating shadow; the heart of color Doppler ultrasound showing: aortic root is about 49mm, l Department is about 56mm, descending at about 22mm, the roots of the Ministry of tumor-like expansion of l from the aortic intima 12mm Office see floating crown right-hand flap and left common carotid artery, there is turbulence (Break), false lumen through the width of 13mm , small to moderate amount of aortic valve regurgitation (relative in). Admission diagnosis was: ‘aortic dissection (Stanford A3S type)’, by improving preoperative preparation in our hospital after the line ‘BENTALL semi-arch replacement surgery’. Take sternum incision thoracotomy, aortic thickening probe found that significant, extending to innominate artery and the roots, appearance Chenganhongse, the most crude of about 60mm. The right axillary artery insertion, 22 tubes, inserted 32-cavity housing management, free three major branches of arteries and cuffs, body temperature 31 ℃ , nasopharyngeal temperature 29.8 ℃ , block the ascending aorta, cut aneurysm wall, a direct infusion of about a crown openings : 4 blood cardioplegia, the heart stopping irrigation. The tumor detection wall is thinner, Break in the aortic wall side is about 5cm, laminated strip to the sinus to the proximal and non-crown junction of two severe prolapse valve, remote start stripping to the innominate artery arch of about 1cm , right crown openings involvement, middle fracture, removal of three and a half months flap and opening the middle p