Aortic wrapping is life-saving in high-risk acute aortic dissection and intramural haematoma.

IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Interactive cardiovascular and thoracic surgery Pub Date : 2022-10-10 DOI:10.1093/icvts/ivac254
Thierry Carrel, Juri Sromicki, Martin Schmiady, Raed Aser, Ahmed Ouda, Paul Robert Vogt
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Abstract

Aortic wrapping is a controversial repair in patients presenting with acute type A aortic dissection or intramural haematoma, but this method may be a potential alternative to medical treatment or conventional repair in patients aged >80 years and in those presenting with prohibitive co-morbidities such as stroke, circulatory collapse, full oral anticoagulation with the last generation drugs. We report on 5 high-risk and/or patients over 80 years who received external aortic wrapping with or without cardiopulmonary bypass during the last 18 months. All survived the procedure and could be extubated early postoperatively. No patient remained on the intensive care longer than 2 days and all were discharged without additional complications. Postoperative radiological control was acceptable and no patient had any new aortic event up to 18 months postoperatively.

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主动脉包裹术是挽救高危急性主动脉夹层和壁内血肿的重要手段。
对于急性a型主动脉夹层或壁内血肿患者,主动脉包裹术是一种有争议的修复方法,但对于年龄>80岁的患者,以及那些有中风、循环衰竭、全口服抗凝等禁忌性合并症的患者,这种方法可能是药物治疗或传统修复的潜在替代方法。我们报告了5例80岁以上的高危和/或患者在过去18个月内接受了外主动脉包裹术,伴或不伴体外循环。所有患者均存活,术后早期可拔管。所有患者均未在重症监护室停留超过2天,出院时均无其他并发症。术后放射学控制是可接受的,术后18个月没有患者出现任何新的主动脉事件。
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来源期刊
Interactive cardiovascular and thoracic surgery
Interactive cardiovascular and thoracic surgery CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.30
自引率
0.00%
发文量
292
审稿时长
2-4 weeks
期刊介绍: Interactive CardioVascular and Thoracic Surgery (ICVTS) publishes scientific contributions in the field of cardiovascular and thoracic surgery, covering all aspects of surgery of the heart, vessels and the chest. The journal publishes a range of article types including: Best Evidence Topics; Brief Communications; Case Reports; Original Articles; State-of-the-Art; Work in Progress Report.
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