DeBakey Ⅲ型主动脉夹层杂交手术致脑梗塞1例

Cerebral infarction caused by hybridization opertation of DeBakey typeⅢaortic dissection:a case report

DeBakeyⅢ型主动脉夹层急性期行腔内隔绝术，较传统的开胸直视外科手术具有更高的技术成功率和安全性。当DeBakeyⅢ型夹层近端撕裂口距锁骨下动脉开口距离〈1．5cm时，

Aortic endovascular exclusion （EVE） is more safer and has higher success rate than traditional thoracotomy in acute phase of DeBakey type III aortic dissection. If the distance from tear location of DeBakey III dissection to the beginning of left subclavian artery （LSA） is less than 1.5 cm,hybridization operation that revas- cularization of LSA and EVE are performed simultaneously is preferred to ensure the stent＇s anchor effect without affecting the blood supply of LSA. A case of 41 year-old man with cerebral infarction after hybridization operation of DeBakey III aortic dissection is reported herein. Carotid CTA showed the thrombosis of the pocket segment of LSA which is probably the incentive of cerebral infarction. For hybridization operation, we recommend closing the pocket segment during revascularization of LSA to reduce the neurological complications.