Standford A型主动脉夹层主动脉根部的处理策略

Aortic root management strategy for Standford Type A aortic dissection

急性Standford A型主动脉夹层是外科中最凶险的疾病之一,累及窦部甚至累及瓣环、瓣膜的患者的手术难度大于一般急性Standford A型主动脉夹层患者。随着国内外心脏中心不断探索新技术,窦部成型以及根部重建的临床应用使患者的治疗效果进一步提升。尽管重建生理性的血流动力学是我们共同追求的治疗目标,但是不同受累的主动脉根部在手术方式的选择上依旧存在争议。主动脉根部的生理学基础和结构功能以及恢复主动脉根部的血流动力学仍然是外科医生探索的一部分。本文就Standford A型主动脉夹层主动脉根部术式的研究进展进行综述。

Acute Standford Type A aortic dissection is one of the most dangerous diseases in surgery.The surgical difculty of patients with sinus involvement and even valve ring and valve involvement is greater than that of patients with acute Standford Type A aortic dissection.With the continuous exploration of new technologies by heart centers at home and abroad,the clinical application of sinus shaping and root reconstruction has further improved the treatment effect of patients.Although the reconstruction of physiological hemodynamics is our common treatment goal,the choice of surgical methods for different affected aortic roots is still controversial.The physiological basis and structural function of the aortic root and the restoration of the hemodynamics of the aortic root are still part of the exploration of surgeons.This article reviews the research progress of aortic root surgery for Standford Type A aortic dissection.