【正文】
gitation 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。 hemiarch 1. asc. aortic plus innominate and left carotid artery 2. asc. aorta and innominate and left mon carotid artery 3. asc. Aortic, aortic arch and stent placement 4. Half or full arch and stent placement Intimal tear in asc. aorta and aortic arch , dissection in brachiocephalic artery replacement of aortic arch Management of the arch Intimal tear in desc. aorta ,with retrograde dissection tear to arch and asc. aorta Replacement of aortic arch or place stent If tear occurs distal to subclavian artery, stent may be placed from femoral artery after operation Management of the arch