15例主动脉夹层动脉瘤的外科治疗

目的 总结１９９２年６月至１９９８年６月对１５例主动脉夹层动脉瘤病人的外科治疗经验。方法 采用Ｃａｂｒｏｌ手术６例，Ｂｅｎｔａｌｌ手术４例，升主动脉与腹主动脉搭桥转流手术４例。升主动脉夹层缝闭加主动脉瓣成形１例。结果 １４例生存，１例Ｂｅｎｔａｌｌ手术左冠状动脉吻合口出血者死亡。结论ＤｅＢａｋｅｙ Ⅱ型病人，当冠状动脉开口直接缝合于带瓣管道上有困难时，采用Ｃａｂｒｏｌ手术有其优点－采用１根８ｍｍ直

Surgical treatment of aortic dissecting aneurysm

Objective To review the surgical results of aortic dissecting aneurysm. Method from June 1992 to June 1998,15 patients with aortic dissecting aneurysm underwent surgical treatment. The procedures performed included 6 Cabrol operation, 4 Bentall procedure, one of closure of dissection with aortic valvular plasty and 4of deviation bypassing the dissected aorta. Results There was 1 postoperative death with a mortality of 6 6%. The cause of death was leakage of the anastomosis of left coronary in Bentall procedure. Conclusion The modification of Cabrol operation could improve surgical outcome of type II aortic dissection aneurysm. A selfblood infusion system bypass is created in case of hemostatic failure between right atrium and aneurysmal sac sewn around the dacron graft. For type IIIa aortic dissection aneurysm, a dacron graft was implanted between ascending aorta and abdominal aorta to bypass the dissected aorta, the results are encouraging.