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Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2022, Vol. 10 ›› Issue (03): 301-305. doi: 10.3877/cma.j.issn.2095-5782.2022.03.014

• Review • Previous Articles     Next Articles

Advances in Primary retrograde Stanford type A aortic dissection

Heng Zhang1, Junjun Liu1, Shun Xiao1, Mingjin Guo1,()   

  1. 1. Department of Vascular Surgery, the Affiliated Hospital of Qingdao University, Shandong Qingdao 266000, China
  • Received:2021-08-21 Online:2022-08-25 Published:2022-09-22
  • Contact: Mingjin Guo

Abstract:

The primary retrograde type A aortic dissection (RTAD) is characterized by an initial tear beyond the innominate artery and the retrogradation of the dissected false lumen involving the ascending aorta. Due to its complex anatomical structure and high risk, RTAD is a challenging problem for aortic surgeons. For this dissection, its treatment strategy is controversial, and there is no guideline for the treatment of this subtype or any consensus. By analyzing literature, we mainly review the epidemiology, anatomical characteristics, pathogenesis, treatment strategy and other aspects of RTAD, hoping to provide guidance for clinical work.

Key words: Primary retrograde Stanford type A aortic dissection, Ascending aorta, Treatment strategy

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