The aortic aneurysm is the 13th leading cause of death in Western countries. The incidence of thoracic aortic aneurysms is estimated at 4.5 cases per 100,000. The diagnosis is often made on a chest x-ray or other imag...The aortic aneurysm is the 13th leading cause of death in Western countries. The incidence of thoracic aortic aneurysms is estimated at 4.5 cases per 100,000. The diagnosis is often made on a chest x-ray or other imaging tests, such as an echocardiogram done for other heart diseases. Echocardiography is the first test to assess the diameter of the ascending aorta and its progression over time. Most patients are first assessed and followed up with spiral thoracic computed tomography with injection of contrast medium, supplemented by 3-dimensional reconstruction of the aneurysm in order to improve the accuracy of measurements, identification of its proximal part and distal. When dilation of the ascending aorta reaches the critical diameter of 50 mm, there is a risk of aortic dissection or rupture. Supravalvular aneurysms are treated by replacing the ectatic portion with a Dacron<span style="white-space:nowrap;">®</span> tube in the supracoronary position. Aortic root aneurysms, including coronary ostia, require tube replacement, reimplantation of coronary ostia, as well as surgery on the aortic valve. In this article, we report a case of aneurysm of the aortic root and the ascending aorta treated by aortic valve replacement and the ascending aorta associated with the Cabrol hemi-mustache technique and we review the literature.展开更多
Cabrol technique and its modification are used as second line or bailout procedure in reimplantation of coronary arteries after aortic root replacement. Percutaneous interventions of Cabrol graft with aspiration throm...Cabrol technique and its modification are used as second line or bailout procedure in reimplantation of coronary arteries after aortic root replacement. Percutaneous interventions of Cabrol graft with aspiration thrombectomy and stenting have been previously described. We report a patient who successfully underwent percutaneous intervention on the graft by rheolytic thrombectomy followed by stenting in the setting of ST elevation myocardial infarction.展开更多
This paper reported 3 cases of ascending aortic dissecting aneurysm treated by modified Cabrol's operation. An 8 mm Gore-Tex connected with coronary arteries was employed to prevent high tension, intimal tearing a...This paper reported 3 cases of ascending aortic dissecting aneurysm treated by modified Cabrol's operation. An 8 mm Gore-Tex connected with coronary arteries was employed to prevent high tension, intimal tearing and bleeding of anastomosis. Unremoved aneurysmal wall used as a sac for enclosing conduit graft could minimize the bleeding and oozing so that leaked blood can be drained to right atrium via a bypass.展开更多
目的评估外膜内翻技术在急性A型主动脉夹层(acute type A aortic dissection,ATAAD)根部修复的安全性和有效性。方法回顾性收集2015年至2018年间490例同期收治的ATAAD患者临床资料。纳入标准为夹层累及窦管交界以下;接受开放手术治疗。...目的评估外膜内翻技术在急性A型主动脉夹层(acute type A aortic dissection,ATAAD)根部修复的安全性和有效性。方法回顾性收集2015年至2018年间490例同期收治的ATAAD患者临床资料。纳入标准为夹层累及窦管交界以下;接受开放手术治疗。排除标准为既往行根部处理;外伤致主动脉夹层;行根部置换术(Bentall或Daivd术式)。纳入490例,其中男366例(74.69%),女124例(25.31%);年龄24~77岁,平均(51.28±10.99)岁。利用方差检验/非参数检验以及卡方检验对患者资料进行分析,远期生存及二次干预情况以Kaplan-Meier曲线展示。结果所有患者按根部修复技术分为外膜内翻(A组)、直接缝合(B组)和包裹分流(C组)3组,术前A组平均年龄较高(53.05±11.09)岁,C组心功能较低,更多见肾灌注不良。术中A组平均HCA、CPB及ACC时长最短,平均最低肛温最高。3组围术期常见并发症发生率、病死率及随访生存和再干预率差异无统计学意义,A、B两组患者中远期随访均未进行根部非计划干预,A组根部直径形态及大小在随访过程中更稳定,3组根部直径分别为(33.14±3.74)mm、(34.51±3.83)mm和(33.89±3.89)mm(P=0.008)。结论外膜内翻技术应用于ATAAD患者根部修复安全有效,可达到满意的近远期效果。展开更多
文摘The aortic aneurysm is the 13th leading cause of death in Western countries. The incidence of thoracic aortic aneurysms is estimated at 4.5 cases per 100,000. The diagnosis is often made on a chest x-ray or other imaging tests, such as an echocardiogram done for other heart diseases. Echocardiography is the first test to assess the diameter of the ascending aorta and its progression over time. Most patients are first assessed and followed up with spiral thoracic computed tomography with injection of contrast medium, supplemented by 3-dimensional reconstruction of the aneurysm in order to improve the accuracy of measurements, identification of its proximal part and distal. When dilation of the ascending aorta reaches the critical diameter of 50 mm, there is a risk of aortic dissection or rupture. Supravalvular aneurysms are treated by replacing the ectatic portion with a Dacron<span style="white-space:nowrap;">®</span> tube in the supracoronary position. Aortic root aneurysms, including coronary ostia, require tube replacement, reimplantation of coronary ostia, as well as surgery on the aortic valve. In this article, we report a case of aneurysm of the aortic root and the ascending aorta treated by aortic valve replacement and the ascending aorta associated with the Cabrol hemi-mustache technique and we review the literature.
文摘Cabrol technique and its modification are used as second line or bailout procedure in reimplantation of coronary arteries after aortic root replacement. Percutaneous interventions of Cabrol graft with aspiration thrombectomy and stenting have been previously described. We report a patient who successfully underwent percutaneous intervention on the graft by rheolytic thrombectomy followed by stenting in the setting of ST elevation myocardial infarction.
文摘This paper reported 3 cases of ascending aortic dissecting aneurysm treated by modified Cabrol's operation. An 8 mm Gore-Tex connected with coronary arteries was employed to prevent high tension, intimal tearing and bleeding of anastomosis. Unremoved aneurysmal wall used as a sac for enclosing conduit graft could minimize the bleeding and oozing so that leaked blood can be drained to right atrium via a bypass.
文摘目的评估外膜内翻技术在急性A型主动脉夹层(acute type A aortic dissection,ATAAD)根部修复的安全性和有效性。方法回顾性收集2015年至2018年间490例同期收治的ATAAD患者临床资料。纳入标准为夹层累及窦管交界以下;接受开放手术治疗。排除标准为既往行根部处理;外伤致主动脉夹层;行根部置换术(Bentall或Daivd术式)。纳入490例,其中男366例(74.69%),女124例(25.31%);年龄24~77岁,平均(51.28±10.99)岁。利用方差检验/非参数检验以及卡方检验对患者资料进行分析,远期生存及二次干预情况以Kaplan-Meier曲线展示。结果所有患者按根部修复技术分为外膜内翻(A组)、直接缝合(B组)和包裹分流(C组)3组,术前A组平均年龄较高(53.05±11.09)岁,C组心功能较低,更多见肾灌注不良。术中A组平均HCA、CPB及ACC时长最短,平均最低肛温最高。3组围术期常见并发症发生率、病死率及随访生存和再干预率差异无统计学意义,A、B两组患者中远期随访均未进行根部非计划干预,A组根部直径形态及大小在随访过程中更稳定,3组根部直径分别为(33.14±3.74)mm、(34.51±3.83)mm和(33.89±3.89)mm(P=0.008)。结论外膜内翻技术应用于ATAAD患者根部修复安全有效,可达到满意的近远期效果。
