Traitement des complications vasculaires des dissections aortiques

EMC - Chirurgie Pub Date : 2004-12-01 DOI:10.1016/j.emcchi.2004.08.002

G. Fournial (Professeur des Universités, chirurgien des Hôpitaux) , H. Rousseau (Professeur des Universités, radiologue des Hôpitaux) , V. Chabbert (Praticien hospitalier) , A. Mugniot (Chef de clinique-assistant) , M. Fusari (Chirurgien cardiovasculaire) , P. Biglioli (Professeur à l'université de Milan) , P. Rouge (Praticien hospitalier, anesthésie–réanimation) , D. Roux (Praticien hospitalier)

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Abstract

Progress in cardiovascular surgery, anesthesiology, post operative care, imaging, and a better knowledge of medullar vascularization has resulted in an improved management of ischemic complications during acute aortic dissection. Scanners of new generation allow fast and precise analysis of the mechanisms involved in the visceral mal perfusion syndrome. Combined strategies using both surgical and endovascular interventional radiology constitute an offensive treatment, which could be beneficial for patients during acute and long-term clinical follow-up. Multidisciplinary radiological, surgical, cardiovascular, and anesthetic approach should improve short- and long-term prognosis of aortic dissections.

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主动脉夹层血管并发症的治疗

心血管外科、麻醉学、术后护理、影像学的进步，以及对髓血管形成的更好了解，改善了急性主动脉夹层期间缺血性并发症的管理。新一代扫描仪可以快速准确地分析内脏灌注不良综合征的发病机制。使用外科和血管内介入放射学的联合策略构成了一种攻击性治疗，在急性和长期临床随访期间对患者有益。多学科的放射学、外科、心血管和麻醉方法应改善主动脉夹层的短期和长期预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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EMC - Chirurgie

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