一例使用新型A 型主动脉夹层冠状动脉处理方法的病例报道

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Abstract Acute Stanford type A aortic dissection is a very dangerous disease with high mortality,which seriously threatens patients' lives.Surgery is considered as an effective method to treat acute Stanford type A aortic dissection,which significantly improves the survival rate of patients.The treatment modalities varies with the extent of dissection,but the aortic root management strategy of Stanford type A aortic dissection is undoubtedly very challenging for surgeons,especially Stanford type A aortic dissection which needs to treat coronary artery at the same time.This paper aims to report the successful treatment of a heavy patient with acute Stanford type A aortic dissection involving noncoronary sinus and aortic valve regurgitation in the emergency operation of cardiac surgery in Huizhou First People's Hospital,and to share the intraoperative experience and related literature.The patient was a 44-year-old male with a body mass index of 29.4 kg/m2.In the operation,the aortic valve and ascending aorta were replaced by valved vascular prosthesis,and then holes were punched in the valved vascular prosthesis corresponding to the left and right coronary arteries,and the autologous aorta and the valved vascular prosthesis were continuously sutured along the STJ plane of the ascending aorta to complete the coronary artery transplantation.The patient was discharged on foot 44 days after operation,and the follow-up for more than half a year showed good results.

Key words： Aortic dissection Coronary artery disease Aortic root disease Aortic sinus Aortic valve regurgitation

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2023/V30/I21/167

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