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【正文】 Fundamentals of Aortic Surgery 華中科技大學同濟醫(yī)學院附屬協(xié)和醫(yī)院心外科 孫圖成 2022/5/30 2 Modern Era ? 1955: Debakey/Cooley perform replacement of aorta using homograft. ? 1965: Wheat proposes modern pharmacological antiimpulse therapy (↓dp/dt) ? 1970: Stanford Classification ? 1975: HCA for aortic arch repair by Griep and colleagues ? 2022 first FDAapproved TEVAR 2022/5/30 3 Overview ? Pathologies of thoracic aorta ? Medical management ? Open repair ? Endovascular repair 2022/5/30 4 Pathologies of Thoracic Aorta ? Thoracic aorta aneurysm (TAA) ? Acute and chronic dissections ? Aortic transections ? Perating ulcer ? Intramural hematoma ? Aortoesophageal and aortobronchial fistula ? Shaggy Aorta ? Coarctation of the aorta and its aneurysm 2022/5/30 5 Guidelines Hiratzka LF et al., Circulation 2022 2022/5/30 6 Thoracic Aorta Aneurysm ?Aneurysmal dilatation = 50% increase over the normal diameter ?majority w/o symptoms Svensson LG, Crawford ES. Cardiovascular and vascular disease of the aorta. Philadelphia:WB Saunders, 1997 2022/5/30
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