| 应用Cabrol手术治疗急性A型主动脉夹层根部病变 |
| |
| 引用本文： | Changjiang YU,Jue YANG,Xin LI,Ruixin FAN. 应用Cabrol手术治疗急性A型主动脉夹层根部病变[J]. 分子影像学杂志, 2017, 40(3): 245-250. DOI: 10.3969/j.issn.1674-4500.2017.03.01 |
| |
| 作者姓名： | Changjiang YU Jue YANG Xin LI Ruixin FAN |
| |
| 作者单位： | 广东省医学科学院//广东省人民医院//广东省心血管病研究所心外科，广东 广州 510080 |
| |
| 摘 要： | 目的Cabrol手术由Cabrol C教授于1981年首创，但至今关于该术式用于治疗A型主动脉夹层的报道并不多。本研究对我中心近7年来应用Cabrol术式治疗急性A型主动脉根部病变的病例进行总结。方法2009年1月~2016年12月，共有47例急性A型主动脉夹层的患者在我中心接受Cabrol手术治疗。所有病例术前均经心脏彩超及主动脉增强CT检查确诊。对其根部病变应用Cabrol技术处理，弓部病变采用半弓置换或全弓置换。对所有病例的相关数据进行回顾性分析。结果总共纳入47例患者，其中6例为单纯Cabrol手术，13例为Cabrol+右半弓置换，28例为Cabrol+孙氏手术。总的30 d死亡率为10.6%（5/47）。住院期间急性肾功能衰竭发生率25.5%（12/47），有12.8%（6/47）的病人需要接受连续肾脏替代治疗。中位住院时间为25.5 d（15~128 d），随访时间6~36月。结论Cabrol手术用于急性A型主动脉夹层的病人根部处理安全有效，术中部分技术细节需要注意。
|
| 关 键 词： | Cabrol手术 主动脉夹层 主动脉根部 |
| 收稿时间： | 2017-05-16 |
Experiences of cabrol root replacement in management of type A aortic dissection |
| |
| Changjiang YU,Jue YANG,Xin LI,Ruixin FAN. Experiences of cabrol root replacement in management of type A aortic dissection[J]. Journal of Molecular Imaging, 2017, 40(3): 245-250. DOI: 10.3969/j.issn.1674-4500.2017.03.01 |
| |
| Authors: | Changjiang YU Jue YANG Xin LI Ruixin FAN |
| |
| Affiliation: | Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Genernal Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China |
| |
| Abstract: | ObjectiveCabrol procedure was introduced by Professor Cabrol C in 1981, but little information existed regarding the results of Cabrol technique in aortic dissection(AD). This study explored a 7-year period results of aortic root replacements in type A aortic dissection employing this procedure. MethodsFrom January 2009 to December 2016, 47 patients with type A aortic dissection received Cabrol procedure in our hospital. All patients received echocardiography and CT scan of whole aorta before operation. Cabrol procedure was performed to repair the aortic root. The replacement of right hemi aortic arch or total aortic arch and a stented frozen elephant trunk implantation might be performed based on the extent of the dissection in the aortic arch. A retrospective analysis was performed to evaluate the effectiveness of this procedure in type A aortic dissection. ResultsForty-seven cases were admitted, including 6 cases of simple Cabrol procedure, 13 cases with concomitant replacement of right hemi aortic arch and 28 cases with concomitant total aortic arch replacement and frozen elephant trunk technique.The 30-day mortality was 10.6%(5/47). 25.5%(12/47) of patients developed acute renal failure, and 12.8%(6/47) needed continuous renal replacement therapy (CRRT) during hospital time. The median hospital time were 25.5 d, ranging from 15 to 128 d.It followed-up from 6 to 36 months. ConclusionThe Cabrol procedure is feasible and safe for patients with type A aortic dissection. The artificial blood vessels are unobstructed. |
| |
| Keywords: | |
|
| 点击此处可从《分子影像学杂志》浏览原始摘要信息 |
|
点击此处可从《分子影像学杂志》下载免费的PDF全文 |
