主动脉夹层术后残余夹层重塑的影响因素与干预措施

Influential factors and interventions of aortic remodeling in residual aortic dissection after surgical repairs

主动脉夹层是心血管外科的危急重症, 根据是否累及升主动脉可分为Stanford A型和B型夹层。目前A型夹层的主流治疗方案为开胸主动脉置换, B型夹层可根据情况选择介入治疗、开放手术治疗或是药物保守治疗。但不管何种治疗方案, 都很难一次性解决所有夹层累及的主动脉, 因此主动脉残余夹层普遍存在于夹层患者中。本文从主动脉夹层术后残余夹层重塑的定义、预后情况以及影响因素等主动脉重塑的热点问题做一综述。

The aortic dissection is a critical emergency in cardiovascular surgery and can be classified as Stanford type A and type B aortic dissection depending on whether the ascending aorta is involved.Currently,the mainstream treatment option for type A aortic dissection is open surgery,while type B dissection can be treated by interventional therapy,open surgery,or optimal medical therapy depending on the situation.However,regardless of the treatment option,it is difficult to resolve all the problems at once.As a result,residual aortic dissection is commonly found in patients with aortic dissection.This article will review the hot issues of aortic remodeling in terms of the definition,prognosis,and risk factors.