Role of initial medical treatment and effectiveness of thoracic endovascular aortic repair for acute type a aortic dissection with thrombosed false lumen.

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery(2023)

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摘要
Our management with a combination of emergent aortic repair, IMT, and delayed aortic repair for AAAD with T-FL achieved favourable clinical outcomes. In the selected Japanese patients, IMT with repeated MDCT could detect a new intimal tear which could be closed by TEVAR in some cases and TEVAR for this pathology resulted in acceptable early and mid-term outcomes. Further investigations are required to validate the safety and efficacy of this management.
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关键词
Acute type A aortic dissection,Intramural hematoma,Medical treatment,TEVAR,Thoracic endovascular aortic repair
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