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【正文】 ? 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 7 TAA Lifetime Rates of rupture , dissection or death ? 34% for ascending thoracic aorta at 6 cm ? 43% for descending thoracic aorta at 7 cm 2022/5/30 8 Medical Management ? Control BP and HR (dp/dt)* ? multiple intravenous medication: Bblocker, calciumantagonists, etc. ? Pray! ? No weight lifting, skiing, ? horseback riding, contact ? sports, etc. *7th JNC guidelines: Chobanian et al.
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