Experience and early outcome of treating retrograde type A dissection with primary entry tear in the descending thoracic aorta
Once the ascending aorta gets involved and however farther the dissection extends, it is named type Adissection （TAD）, in which the entry tear usually locates in the ascending aorta. But there exists a small subset with primary entry tear in the descending aorta and the dissection process extends ba...
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| Veröffentlicht in: | Chinese medical journal 2013, Vol.126 (17), p.3385-3387 |
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| creator | Zhang, Wan Dong, Zhi-Hui Fu, Wei-Guo Guo, Da-Qiao Xu, Xin Wang, Yu-Qi |
| description | Once the ascending aorta gets involved and however farther the dissection extends, it is named type Adissection （TAD）, in which the entry tear usually locates in the ascending aorta. But there exists a small subset with primary entry tear in the descending aorta and the dissection process extends back into the ascending aorta, which here we name primary retrograde type A dissection （PRTAD）. Operative procedures are far more difficult and extensive for PRTAD and usually result in poor prognosis in the aspects of surgical mortality and survival rate during follow-up.1-3 Kato et al4 and Chang et al5 showed successful method of endovascular repair for PRTAD and recommended it as an alternative to the operative treatment. During March 2008 to August 2010, five continuous patients with PRTAD were admitted into our institution. We here introduce our preliminary experience with medical therapy and thoracic endovascular aortic repair （TEVAR） for treating PRTAD. |
| doi_str_mv | 10.3760/cma.j.issn.0366-6999.20132105 |
| format | Article |
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All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c377t-b62e8248a87db95bfea153fdc7e293d5648d2cf04cc5559ed9f257d4929d3faa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85656X/85656X.jpg</thumbnail><link.rule.ids>315,782,786,866,4028,27932,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24033971$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Wan</creatorcontrib><creatorcontrib>Dong, Zhi-Hui</creatorcontrib><creatorcontrib>Fu, Wei-Guo</creatorcontrib><creatorcontrib>Guo, Da-Qiao</creatorcontrib><creatorcontrib>Xu, Xin</creatorcontrib><creatorcontrib>Wang, Yu-Qi</creatorcontrib><title>Experience and early outcome of treating retrograde type A dissection with primary entry tear in the descending thoracic aorta</title><title>Chinese medical journal</title><addtitle>Chinese Medical Journal</addtitle><description>Once the ascending aorta gets involved and however farther the dissection extends, it is named type Adissection （TAD）, in which the entry tear usually locates in the ascending aorta. 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We here introduce our preliminary experience with medical therapy and thoracic endovascular aortic repair （TEVAR） for treating PRTAD.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Endovascular Procedures - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>主动脉</subject><subject>入门</subject><subject>夹层</subject><subject>手术治疗</subject><subject>手术过程</subject><subject>撕裂</subject><subject>早期治疗</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kc2P1CAYh4nRuOPqv2DwoPHSSqFAOXjYbNaPZBMveiYMvJ22mcIs0OyOB_92aWZ2LnB53q_fg9DHhtRMCvLFzqae6jElXxMmRCWUUjUlDaMN4S_QhvKWVly0zUu0uQBX6E1KEyGUcyleoyvaEsaUbDbo393TAeII3gI23mEwcX_EYck2zIBDj3MEk0e_wxFyDLtoHOB8PAC-wa5sATaPwePHMQ_4EMfZxCMGn8ubSys8epwHwA6SBe_WNnkI0djRYhNiNm_Rq97sE7w7_9foz7e737c_qvtf33_e3txXlkmZq62g0NG2M510W8W3PZiGs95ZCVQxV87tHLU9aa3lnCtwqqdculZR5VhvDLtGn059H43vjd_pKSzRl4n672Dnac2vkSWuAn4-gYcYHhZIWc9j2X2_Nx7CknTTMkZFyztZ0K8n1MaQUoRenwPQDdGrK11c6UmvrvSqQq8q9LOrUv_-PGrZzuAu1c9yCvDhPGAIfvdQ0rswrSRSFIT9B454oNg</recordid><startdate>2013</startdate><enddate>2013</enddate><creator>Zhang, Wan</creator><creator>Dong, Zhi-Hui</creator><creator>Fu, Wei-Guo</creator><creator>Guo, Da-Qiao</creator><creator>Xu, Xin</creator><creator>Wang, Yu-Qi</creator><general>Department of Vascular Surgery, Huadong Hospital, Fudan University, Shanghai 200040, China%Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>2013</creationdate><title>Experience and early outcome of treating retrograde type A dissection with primary entry tear in the descending thoracic aorta</title><author>Zhang, Wan ; Dong, Zhi-Hui ; Fu, Wei-Guo ; Guo, Da-Qiao ; Xu, Xin ; Wang, Yu-Qi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-b62e8248a87db95bfea153fdc7e293d5648d2cf04cc5559ed9f257d4929d3faa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysm, Dissecting - surgery</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Endovascular Procedures - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>主动脉</topic><topic>入门</topic><topic>夹层</topic><topic>手术治疗</topic><topic>手术过程</topic><topic>撕裂</topic><topic>早期治疗</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Wan</creatorcontrib><creatorcontrib>Dong, Zhi-Hui</creatorcontrib><creatorcontrib>Fu, Wei-Guo</creatorcontrib><creatorcontrib>Guo, Da-Qiao</creatorcontrib><creatorcontrib>Xu, Xin</creatorcontrib><creatorcontrib>Wang, Yu-Qi</creatorcontrib><collection>维普_期刊</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>维普中文期刊数据库</collection><collection>维普中文医药期刊数据库</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Wan</au><au>Dong, Zhi-Hui</au><au>Fu, Wei-Guo</au><au>Guo, Da-Qiao</au><au>Xu, Xin</au><au>Wang, Yu-Qi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Experience and early outcome of treating retrograde type A dissection with primary entry tear in the descending thoracic aorta</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chinese Medical Journal</addtitle><date>2013</date><risdate>2013</risdate><volume>126</volume><issue>17</issue><spage>3385</spage><epage>3387</epage><pages>3385-3387</pages><issn>0366-6999</issn><eissn>2542-5641</eissn><abstract>Once the ascending aorta gets involved and however farther the dissection extends, it is named type Adissection （TAD）, in which the entry tear usually locates in the ascending aorta. But there exists a small subset with primary entry tear in the descending aorta and the dissection process extends back into the ascending aorta, which here we name primary retrograde type A dissection （PRTAD）. Operative procedures are far more difficult and extensive for PRTAD and usually result in poor prognosis in the aspects of surgical mortality and survival rate during follow-up.1-3 Kato et al4 and Chang et al5 showed successful method of endovascular repair for PRTAD and recommended it as an alternative to the operative treatment. During March 2008 to August 2010, five continuous patients with PRTAD were admitted into our institution. 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| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB Electronic Journals Library |
| subjects | Adult Aged Aged, 80 and over Aneurysm, Dissecting - surgery Aortic Aneurysm, Thoracic - surgery Endovascular Procedures - methods Female Humans Male Middle Aged 主动脉 入门 夹层 手术治疗 手术过程 撕裂 早期治疗 |
| title | Experience and early outcome of treating retrograde type A dissection with primary entry tear in the descending thoracic aorta |
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