B型夹层直视都支架象鼻手术.pptVIP

Disscussion Indications：complicated type B AoD with cardiac diseases complicated type B AoD involving distal arch Marfan patients 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 Conclusion Open sET technique combined cardiac procedures can reliably treat Stanford type B AoD concomitant with surgical cardiac disease in single-stage 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 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：49.75±13.42 years (range 17-64 years) Gender：12 male， 4 female Maximal Diameter：5.43±0.88cm (range 4.2-7.7cm) Phase： 3 Acute，13 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 Techniques 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 LSCA→LCCA Operative Techniques LSCA was involved by aortic dissection