主动脉夹层(aortic dissection,AD)是一种由主动脉内膜撕裂或主动脉壁出血引起的危及生命的危重大血管疾病,导致主动脉壁各层分离(夹层),其临床表现多样不典型,非常隐匿,对于诊断和治疗带来了很大的挑战性[1,2]。目前,对于主动脉夹层不同分...
Stanford A型主动脉夹层腔内修复术 主动脉夹层(aortic dissection, AD)是主动脉内膜的撕裂,血液延中膜层顺行或逆行蔓延,导致内膜片形成,将主动脉壁分割成真腔和假腔。主要病理改变是主动脉管壁中层病理性改变导致的内膜撕裂,其病因复杂。Stanford及Debakey分型是最常见的...
1.1 AAS定义 AAS主要包括主动脉夹层(aortic dissection,AD)、主动脉壁内血肿(intramural hematoma,IMH)和主动脉穿透性溃疡(penetrating aortic ulcer,PAU)。AD是由于各种原因导致主动脉内膜和中膜撕裂,血液通过撕裂破口进入中膜,使主动脉中膜剥离,主动脉被分隔成真假腔。IMH是指发生在主动脉壁中层的血肿,既往认为IMH...
4. Trimarchi S, Nienaber CA, Rampoldi V, et al. Contemporary results of surgery in acute type a aortic dissection: The International Registry of Acute Aortic Dissection experience. J Thorac Cardiovasc Surg, 2005,129(1):112-122. 5. Harris KM, Strauss CE, Eagle KA, et al. Correlates of ...
主动脉夹层(aortic dissection)是指主动脉壁内膜和部分中层撕裂形成内膜裂口,主动脉腔内血液经此内膜撕裂口进入中层,受到强有力的血流冲击,内膜逐步剥离、扩展,形成不同程度和范围的中层剥离,在动脉内形成真、假两腔。急性主动脉夹层是一种起病急骤、病情凶险、进展快速的急性主动脉疾病。如不进行恰当和及时的治疗,破...
主动脉夹层(aortic dissection)是指主动脉壁内膜和部分中层撕裂形成内膜裂口,主动脉腔内血液经此内膜撕裂口进入中层,受到强有力的血流冲击,内膜逐步剥离、扩展,形成不同程度和范围的中层剥离,在动脉内形成真、假两腔。急性主动脉夹层是一种起病急骤、病情凶险、进展快速的急性主动脉疾病。如不进行恰当和及时的治疗,破...
Juntao Kuang, et al. A preoperative mortality risk assessment model for Standford type A acute aortic dissection. BMC cardiovascular disorder 2020 摘要 目的:A型急性主动脉夹层是一种危及生命的疾病,急性期需要急诊手术。急性A型主动脉夹层患者不同的临床表现、实验室检查和影像学特征是术前死亡率的危险因素。
Stanford A aortic dissection is one of the most devastating acute medical conditions due to its high morbidity and mortality. We describe a 77-year-old male patient with a medical history of surgical aortic valve replacement with a still functioning Starr–Edwards caged-ball valve 40 years prior...
Aortic dissection is a common cardiovascular surgical emergency with acute onset, rapid progress, easy postoperative complications, serious complications, and high operative mortality. Stanford classification is commonly used, and Stanford type A aortic dissection (TAAD) accounts for 70%-75% of all aorti...
初步探索安全性和有效性的临床研究文章“Aortic Root Reinforcement Combined with Vascular Grafts Eversion and Built-in Procedure (XJ-Procedure) for Acute Type A Aortic Dissection Surgery”于2023发表在《先进疗法》杂志(IF:3.8)。 在针对“西交术式”的一项单中心小样本回顾性研究中,尽管“西交术式”组的30...