Advances in treatment of Stanford type A aortic dissection

doi:10.3760/cma.j.issn.1007-1245.2022.16.034

Abstract

Abstract: Aortic dissection is a common cardiovascular surgical emergency with acute onset, rapid progress, easy postoperative complications, serious complications, and high operative mortality. Stanford classification is commonly used, and Stanford type A aortic dissection (TAAD) accounts for 70%-75% of all aortic dissections. The aortic dissection break can be located in the ascending aorta, aortic arch or descending aorta. At the same time, the dissection can also involve the aortic arch and descending aorta. In 1838, Penneck reported the first case of aortic dissection, which has been more than 100 years. Thanks to the rapid development of medical technology, the levels of diagnosis and treatment of aortic dissection have gradually improved, and the mortality of aortic dissection has decreased significantly after treatment compared with that before treatment. Over the years, various treatments for TAAD have emerged in endlessly. This paper reviews the progress of the treatment of Stanford TAAD.

Key words: Aortic dissection, Surgery, Interventional procedures, Hybrid surgery

摘要： 主动脉夹层是一种常见的起病急、进展快、术后易出现并发症、并发症严重、手术病死率高的心血管外科急症。Stanford分型较常用，而其中Stanford A型主动脉夹层占所有主动脉夹层的70%～75%，主动脉夹层破口可位于升主动脉和主动脉弓，也可位于降主动脉，同时夹层也可累及主动脉弓以及降主动脉。1838年，Penneck报道了第1例主动脉夹层，至今已过了一百余年。得益于医疗技术的迅速发展，主动脉夹层的诊断、治疗水平逐渐提升，主动脉夹层的病死率在治疗后较未经治疗前有明显下降。多年来，各种治疗Stanford A型主动脉夹层的方式也层出不穷，本文对Stanford A型主动脉夹层的治疗方式的进展作一综述。

关键词: 主动脉夹层, 外科手术, 介入手术, 杂交手术

Li Guanqing, Chen Haisheng, Cheng Keluo, Guan Xiaoran, Zhu Ximeng, Yang Xia. Advances in treatment of Stanford type A aortic dissection[J]. International Medicine and Health Guidance News, 2022, 28(16): 2362-2366.

李观青陈海生程可洛关晓冉朱锡梦杨霞. Stanford A型主动脉夹层的治疗进展[J]. 国际医药卫生导报, 2022, 28(16): 2362-2366.

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