標題: Acute Type A Aortic Dissection Successfully Managed with One-stage Surgery of Total Aortic Arch Replacement with Supra-aortic Transposition Plus Frozen Elephant Trunk Technique
作者: Lee, Meng-Lin
Sun, Shen
Chen, Yi-Ching
Lee, Ying-Chun
Lin, Jiunn-Miin
Chien, Chen-Yen
Wu, Shie-Jao
Li, Jiun-Yi
生物資訊及系統生物研究所
Institude of Bioinformatics and Systems Biology
公開日期: 1-九月-2014
摘要: Acute type A aortic dissection has long been a challenging issue. The surgical techniques traditionally vary with the anatomic extent of the aortic dissection. Simple ascending aortic grafting can be lifesaving, but the lesions beyond the aorta, which include the arch vessels and descending aorta, remain potential hazards. In this paper, we present a patient in which acute type A aortic dissection with lesions extending into descending thoracic aorta was successfully managed by total arch replacement with supra-aortic transposition plus the frozen elephant trunk technique to the descending aorta. A 67-year-old gentleman presented with severe tearing pain from the anterior to posterior chest. Computed tomography confirmed the diagnosis of acute type A dissection extending to the level of the right common iliac artery. An emergent operation was performed as in the aforementioned technique. The surgery went well and the patient was discharged without comorbidities on postoperative day 25. The patient had regular outpatient clinical follow-up. The follow-up computed tomography images showed adequate results with the obliteration of the false lumen. In conclusion, total aortic arch replacement with supra-aortic transposition plus frozen elephant trunk technique is a safe and feasible operative method for patients with detrimental acute type A aortic dissection. Copyright (C) 2014, Taiwan Society of Geriatric Emergency & Critical Care Medicine. Published by Elsevier Taiwan LLC. All rights reserved.
URI: http://dx.doi.org/10.1016/j.ijge.2014.04.002
http://hdl.handle.net/11536/25375
ISSN: 1873-9598
DOI: 10.1016/j.ijge.2014.04.002
期刊: INTERNATIONAL JOURNAL OF GERONTOLOGY
Volume: 8
Issue: 3
起始頁: 175
結束頁: 178
顯示於類別:期刊論文