Abstract:
Objective
To explore the timing and the efficacy of thoracic endovascular aortic repair（TEVAR）treatment in DeBakey Ⅲ type aortic dissection associated with arch and ascending aorta anti-tearing.
Methods
Clinical data of 10 patients with DeBakey Ⅲ aortic dissection associated with arch and ascending aorta anti-tearing from January 2010 to January 2013 were retrospectively analyzed.All the patients had finally stepped stent therapy on the basis of conservative treatment，were erplored according to the follow-up results.
Results
One case conducted TEVAR treatment 3 days after admission because of poor blood pressure control，but died of sudden pericardial tamponade postoperative 2 days.After 4 weeks'conservative treatment all of 9 patients were performed TEVAR，the postoperative patients recovered well and were followed up for 6 to 30 months without adverse events.
Conclusions
False lumen thrombosis in ascending aorta and aortic arch are stable and partially absorbed after 4 weeks with conservative management in the patients who have DeBakey Ⅲaortic dissection with arch and ascending aorta anti-tearing，and then the aortic arch can provide a relatively stable anchoring zone in the proximal end for TEVAR.
Key words:
Aortic aneurysm,
Aneurysm，dissection,
Aneurysm，ruptured,
Endovascular procedures
Zhiwei Wang, Sheng Guan, Jiaxiang Wang, Zhen Li. Timing of thoracic endovascular aortic repair treatment in DeBakey Ⅲ type aortic dissection associated with arch and ascending aorta anti-tearing[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2013, 01(02): 11-14.