72例升主动脉瘤的外科治疗

目的:总结升主动脉瘤的临床诊断和外科治疗经验.方法:72例升主动脉瘤患者中有36例为马凡综合征,35例为夹层动脉瘤,1例为多发性主动脉假性动脉瘤.全部患者在中或深度低温体外循环下行血管置换或修补手术,同期施行冠状动脉旁路移植2例,主动脉瓣置换2例,血管补片修补1例.结果:72例中死亡8例,其余患者均痊愈出院,无神经系统并发症.结论:良好的治疗效果依赖于早期快速诊断、及时正确的手术方法和合理的围术期处理.

Surgical treatment of 72 cases of ascending aortic aneurysm

OBJECTIVE: To summarize the experience of clinical diagnosis and surgical treatment of ascending aortic aneurysm. METHODS: The clinical data of 72 cases of ascending aortic aneurysm were retrospectively analyzed. Of the 72 cases, 36 suffered Mafanos syndrome, 35 suffered aortic dissection, and 1 multiple aortic pseudo-aneurysm. All the patients received artificial vessel replacement or repair under middle or low temperature of cardiopulmonary bypass. Two patients received coronary artery bypass grafting, 2 received aortic valve replacement,and 1 received artificial patch repair. RESULTS: Eight patients died and the others recovered without nervous system complications and were discharged. CONCLUSION: Expedient confirmatory diagnosis, prompt surgical therapy, and efficient therapy during the peri-operative period are helpful to achieve a successful outcome.