Surgical treatment strategies of acute Stanford type A aortic dissection involving coronary artery based on Fuwai type and early clinical outcomes / 中华胸心血管外科杂志

ABSTRACT

Objective To study the surgical treatment strategy of acute type A aortic dissection involving coronary artery on the basis of Fuwai type and evaluate the clinical efficacy. Methods 50 patients with coronary involvement were retrospec-tively analyzed from April 2014 to August 2016. The treatment mothod was based on Fuwai type,mainly including coronary ar-tery repair(CAR)and coronary artery bypass grafting(CABG). The clinical effect of this surgical strategy in the perioperative and follow-up period was analysed. Results A total of 50 patients were included. Of which,38 patients were treated with CAR, 12 patients CABG,including 3 remedial bypass and 2 prophylactic bypass. All patients were followed up from 4 to 32 months,with an average time of 18. 6 months. In group CABG, 1 patient died of multiple organ failure after surgery,and the other patients had no major adverse cardiovascular events and deaths during perioperative period and follow-up period. Conclu-sion This strategy for the treatment of involved coronary arteries based on the Fuwai type has some guiding significance on the surgical treatment of acute type A aortic dissection.