Coronary malperfusion associated with aortic dissection is relatively rare,which has been reported at 5.7%-11.3%,[1]but when it occurs,it is fatal to the patient.Despite improved therapeutic techniques for aortic diss...Coronary malperfusion associated with aortic dissection is relatively rare,which has been reported at 5.7%-11.3%,[1]but when it occurs,it is fatal to the patient.Despite improved therapeutic techniques for aortic dissection over the years,surgical treatment for the uncommon condition of aortic dissection with coronary malperfusion is still premature.Prompt coronary revascularization and concomitant surgical repair of the aorta are essential for dealing with this problem.To date,the surgical management for this condition relies on various techniques,which include coronary artery bypass grafting （CABG） and repair coronary vessels.[1,2] However,the optimal surgical strategy for coronary revascularization is still debated.In this study,we reviewed our experience with aortic dissection involving the coronary artery in 36 patients,which evolved over a 14-year period,aiming to provide alternative options in the face of this scenario.展开更多
After the advent of antibiotic treatment,tertiary syphilis is rarely observed over the last several decades,and its cardiovascular manifestations are particularly rare.Syphilitic aortitis typically involves the tubula...After the advent of antibiotic treatment,tertiary syphilis is rarely observed over the last several decades,and its cardiovascular manifestations are particularly rare.Syphilitic aortitis typically involves the tubular portion of the ascending aorta,aortic arch and descending thoracic aorta,sparing the sinuses of Valsalva.[1]Although exceptional cases of treatment of syphilitic thoracic aortic aneurysm have been reported,[2-4]the optimal technique for treatment is not established.Total arch replacement combined with stented elephant trunk technique was proven to be feasible in patients with type A aortic dissection.Herein,we described our experience of total arch replacement with stented elephant trunk technique in three patients presenting with syphilitic thoracic aortic aneurysm involving the aortic arch and proximal descending aorta.展开更多
基金a grant from the National Natural Science Foundation of China
文摘Coronary malperfusion associated with aortic dissection is relatively rare,which has been reported at 5.7%-11.3%,[1]but when it occurs,it is fatal to the patient.Despite improved therapeutic techniques for aortic dissection over the years,surgical treatment for the uncommon condition of aortic dissection with coronary malperfusion is still premature.Prompt coronary revascularization and concomitant surgical repair of the aorta are essential for dealing with this problem.To date,the surgical management for this condition relies on various techniques,which include coronary artery bypass grafting （CABG） and repair coronary vessels.[1,2] However,the optimal surgical strategy for coronary revascularization is still debated.In this study,we reviewed our experience with aortic dissection involving the coronary artery in 36 patients,which evolved over a 14-year period,aiming to provide alternative options in the face of this scenario.
文摘After the advent of antibiotic treatment,tertiary syphilis is rarely observed over the last several decades,and its cardiovascular manifestations are particularly rare.Syphilitic aortitis typically involves the tubular portion of the ascending aorta,aortic arch and descending thoracic aorta,sparing the sinuses of Valsalva.[1]Although exceptional cases of treatment of syphilitic thoracic aortic aneurysm have been reported,[2-4]the optimal technique for treatment is not established.Total arch replacement combined with stented elephant trunk technique was proven to be feasible in patients with type A aortic dissection.Herein,we described our experience of total arch replacement with stented elephant trunk technique in three patients presenting with syphilitic thoracic aortic aneurysm involving the aortic arch and proximal descending aorta.
