a型主動脈夾層外科手術(shù)體會(ppt-85)(完整版)
【正文】 ration Carbrol operation David operation “ Hybrid ” operation Management of the proximal dissection Dissection not involving coronary arteries and aortic sinus No aortic valve regurgitation Situation 1 Dissection involving aortic sinuses and aortic annulus, with tear at the junction of aortic valve and mild to moderate aortic regurgitation. Situation 2 Management of the proximal dissection Dissection involving the sinuses and aortic annulus. With erosion of the sinuses and can not be repaired Situation 3 Management of the proximal dissection Sever aortic regurgitation Chronic aortic dissection, marked aortic sinus expansion or aortic aneurysm plicated with dissection Situation 4 Management of the proximal dissection Management of the arch Intimal tear in asc. aortic. And at the small curvature of the arch. Asc. aortic and hemiarch replacement 0. Replace 177。 治 療 ? 內(nèi)科治療
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