PDF(Pubmed)
Abstract：
BACKGROUND: Acute Stanford type- A aortic dissections make up a large part of emergency cardiac surgery. They also carry a significant burden of morbidity. New techniques to aid aortic remodelling include the Ascyrus Medical Dissection Stent (AMDS): Its increasing use, looks to present a potential problem in cases where surgery involving the aortic arch may be required.
METHODS: We present the case of a 49-year-old male who underwent urgent redo-surgery for total arch replacement and de-branching following recent replacement of the ascending aorta for acute type-A dissection, where an AMDS stent was deployed. The patient underwent total arch replacement with a stented tri-furcate prosthesis and de-branching of arch vessels with the stent landed inside the previous AMDS, to good effect.
CONCLUSIONS: This case highlights a possible approach to aortic arch surgery in patients who have previous had AMDS insertion.
METHODS: We present the case of a 49-year-old male who underwent urgent redo-surgery for total arch replacement and de-branching following recent replacement of the ascending aorta for acute type-A dissection, where an AMDS stent was deployed. The patient underwent total arch replacement with a stented tri-furcate prosthesis and de-branching of arch vessels with the stent landed inside the previous AMDS, to good effect.
CONCLUSIONS: This case highlights a possible approach to aortic arch surgery in patients who have previous had AMDS insertion.
摘要：
背景：急性Stanford型主动脉夹层构成了急诊心脏手术的很大一部分。它们还具有显著的发病率负担。帮助主动脉重塑的新技术包括Ascyrus医用夹层支架（AMDS）：它的使用越来越多，在可能需要进行涉及主动脉弓的手术的情况下，看起来存在潜在的问题。
方法：我们介绍了一个49岁的男性，该男性在最近更换升主动脉以治疗急性A型夹层后，接受了全弓置换和去分支的紧急重做手术，AMDS支架展开的地方。患者接受了带支架的三分叉假体的全足弓置换，并在支架降落在先前的AMDS内的情况下对足弓血管进行了分支，效果好。
结论：该病例强调了对先前有AMDS插入的患者进行主动脉弓手术的可能方法。
方法：我们介绍了一个49岁的男性，该男性在最近更换升主动脉以治疗急性A型夹层后，接受了全弓置换和去分支的紧急重做手术，AMDS支架展开的地方。患者接受了带支架的三分叉假体的全足弓置换，并在支架降落在先前的AMDS内的情况下对足弓血管进行了分支，效果好。
结论：该病例强调了对先前有AMDS插入的患者进行主动脉弓手术的可能方法。
