| 孙勇池一凡侯文明牛兆倬孙忠东孙龙.马凡综合征合并急性Standford A 型夹层的外科治疗[J].,2011,11(13):2502-2503 |
| 马凡综合征合并急性Standford A 型夹层的外科治疗 |
| Surgical Treatment of Marfan Syndrome Accompanied with Acute AorticDissection of Standford A |
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| DOI： |
| 中文关键词: 马凡综合征 急性主动脉夹层 外科 |
| 英文关键词: Marfan syndrome Acute aortic dissection Surgery |
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| 中文摘要: |
| 目的：评价外科治疗马凡综合征合并急性Standford A 型夹层的效果。方法：回顾性分析2007 年7 月至2010 年7 月外科治
疗12 例马凡综合征合并急性Standford A 型夹层病例的临床资料。采用改良Mini-root 手术方式代替Bentall 手术。结果：主动脉
阻断时间69～103 min,平均(78.7±28.6) min,体外循环时间79～122 min,平均(98.3±23.8) min。术后早期存活11 例，死亡1 例，死亡
率8.3 %。术后随访时间2～37 个月,平均(18.2±8.6) 个月,其中1 例术后24 月发生急性腹主动脉夹层，予以实施腔内支架隔绝术
成功以治愈出院。术后与术前左心室舒张末径分别为45～58 mm,平均(50.2±5.6) mm 和53～69 mm,平均（61.3±4.6）mm (P＜
0.01)。结论：马凡综合征合并急性Standford A 型夹层一经确诊则需急诊手术，及时的外科手术是治疗该病的有效方法，而且应用
改良Mini-root 手术方式疗效满意。 |
| 英文摘要: |
| Objective: To evaluate the surgical effect on Marfan syndrome accompanied with acute aortic dissection of Standford
A. Methods: The clinical data of 12 cases of Marfan syndrome accompanied with acute aortic dissection of Standford A admitted from
July 2007 to July 2010 were analyzed retrospectively. Results: The aortic clamping time was 69～103 min, mean (78.7±28.6) min, the
cardio-pulmonary bypass time was 79～122 min, mean (98.3 ±23.8) min. Only one case died and the motality was 8.3% in early
postoperative pieriod. The left ventricle end-diastolic diameter of post and pre operation was 45～58 mm, mean(50.2±5.6) mm and 53～
69 mm, mean (61.3±4.6) mm respectively (P<0.01). Conclusions: Emergency operation was an effective way for Marfan syndrome
accompanied with acute aortic dissection of Standford A once it was diagnosed. The modified mini-root operation had achieved
satifactory outcome in our center. |
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