One-Stage Repair for Stanford Type B Aortic Dissection Concomitant with Cardiac Diseases: Open Stented Elephant Trunk Technique Combined with Cardiac Operation
Background We evaluated an open stented elephant trunk (sET) technique combined with cardiac operations for a one-stage treatment of patients with complicated Stanford type B aortic dissection (AoD) and cardiac diseases. Methods Between April 2007 and March 2010, 16 patients with Stanford B AoD and cardiac diseases (mean age 49.75 +/- 13.42 years) underwent sET combined with cardiac operations. Under deep hypothermic cardiac arrest (DHCA), a stented graft was directly delivered via the incision of aortic arch and the proximal graft was sutured on the normal distal aortic arch wall in a continuous circumferential full-thickness fashion. The combined cardiac operations (Bentall procedure, etc.) were performed before sET implantation while cooling. Results Average time of cardiopulmonary bypass, aortic cross clamping durance, and DHCA was 131.62 +/- 23.85, 64.69 +/- 9.72, and 21.94 +/- 3.60 minutes, respectively. There were no early deaths and no neurological complications. During a follow-up of 18.69 +/- 9.94 months, computed tomographic angiography was performed in all patients. Neither endoleak nor stent shifting was observed. Retrograde type A AoD was not found during follow-up. Thrombus was formed in the false lumen from the proximal descending aorta to the diaphragmatic section. Conclusions The open sET technique combined cardiac procedures can reliably treat Stanford type B AoD concomitant with surgical cardiac disease in a single stage.
基金：
Beijing Municipal Education CommissionBeijing Municipal Commission of Education [KZ201010025017]
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2011]版：
大类|4 区医学
小类|4 区心脏和心血管系统4 区呼吸系统4 区外科
最新[2023]版：
大类|4 区医学
小类|4 区心脏和心血管系统4 区呼吸系统4 区外科
JCR分区：
出版当年[2010]版：
Q3SURGERYQ4RESPIRATORY SYSTEMQ4CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2023]版：
Q3CARDIAC & CARDIOVASCULAR SYSTEMSQ3SURGERYQ4RESPIRATORY SYSTEM
第一作者机构：[1]Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiovasc Surg, Beijing Aort Dis Ctr, Beijing, Peoples R China
通讯作者：
通讯机构：[1]Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiovasc Surg, Beijing Aort Dis Ctr, Beijing, Peoples R China
推荐引用方式(GB/T 7714)：
Zhu Junming,Cheng Lijian,Liu Yongmin,et al.One-Stage Repair for Stanford Type B Aortic Dissection Concomitant with Cardiac Diseases: Open Stented Elephant Trunk Technique Combined with Cardiac Operation[J].THORACIC AND CARDIOVASCULAR SURGEON.2012,60(1):11-16.doi:10.1055/s-0031-1298068.
APA：
Zhu, Junming,Cheng, Lijian,Liu, Yongmin,Zheng, Jun,Qiao, Zhiyu...&Sun, Lizhong.(2012).One-Stage Repair for Stanford Type B Aortic Dissection Concomitant with Cardiac Diseases: Open Stented Elephant Trunk Technique Combined with Cardiac Operation.THORACIC AND CARDIOVASCULAR SURGEON,60,(1)
MLA：
Zhu, Junming,et al."One-Stage Repair for Stanford Type B Aortic Dissection Concomitant with Cardiac Diseases: Open Stented Elephant Trunk Technique Combined with Cardiac Operation".THORACIC AND CARDIOVASCULAR SURGEON 60..1(2012):11-16
