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- W3029346319 abstract "Objective The technique of endovascular repair for type B aortic dissection has been widely used because of its advantage of low invasiveness and safety.But the complication of Stanford A dissection during and after this operation owing to retrograde tearing should be highly noticed because of its high mortality despite rarely happened.The present study retrospectively analyzed 11 cases of retrograde type A aortic dissection after endovascular repair for type B aortic dissection.The characteristics and surgical intervention for these cases were summarized.Methods From April 2005 to March 2008,eleven cases of retrograde type A aortic dissection after endovascular repair for type B aortic dissection were treated.Among diem,7 cases occurred within 3 months after endovascular repair,the intimal tear of the dissection all happened near ihe proximal end of the stent graft and the distal end of the vascular prosthesis was all anastomosed with the stent graft.The other 4 cases happened longer than 3 months after endovascular repair.Neither did the intimal tear of the dissection nor the distal end of the vascular prosthesis correlate with the stent graft.All the patients received median stemotomy incision.Selective cerebral perfusion through right axillary artery under deep hypothenm'c circulation arrest were used when operating on aortic arch.Results All the cases recovered and were alive after following 7 to 40 months.No serious complications such as stroke,paraplegia or renal failure were found.Conclusion Retrograde type A aortic dissection happened shortly (within 3 months) after endovascular repair may be correlated with stent insertion.The vascular prosthesis can be directly anastomosed with the stent graft.It remains to be further studied whether retrograde type A aortic dissection happened longer after endovascular repair is related with the operation.Favorable effect can be achieved for this kind of patients by surgical treatment.Satisfied cerebral protection and distal anastomosis processing are the key points for the success of the operations.Key words: Aorta,thoracic; Aneurysm,dissecting; Cardiac surgical procedures; Intraoperative complications; Postoperative complications" @default.
- W3029346319 created "2020-06-05" @default.
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- W3029346319 date "2009-10-18" @default.
- W3029346319 modified "2023-09-28" @default.
- W3029346319 title "Surgical intervention for retrograde type A aortic dissection after endovascular repair for type B aortic dissection" @default.
- W3029346319 doi "https://doi.org/10.3760/cma.j.issn.1001-4497.2009.05.009" @default.
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