Surgery for thoracic aortic disease in Japan: evolving strategies toward the growing enemies

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• 作者：Yutaka Okita (1)
  
  1. Division of Cardiovascular Surgery ; Department of Surgery ; Kobe University Graduate School of Medicine ; 7-5-2 Kusunoki-cho ; Chuo-ku ; Kobe ; 650-0017 ; Japan
  
• 关键词：Aortic valve ; sparing root replacement ; Aortic arch surgery ; Thoracoabdominal aortic surgery ; Acute aortic dissection ; Endovascular stent grafting
• 刊名：General Thoracic and Cardiovascular Surgery
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：63
• 期：4
• 页码：185-196
• 全文大小：2,110 KB
• 参考文献：1. Health at a glance 2013: OECD indicators. doi:10.1787/health_glance-2013-33-en .
  2. Amano J, Kuwano H, Yokomise H. Thoracic and cardiovascular surgery in Japan during 2012. Gen Thorac Cardiovasc Surg. 2013;61:578鈥?07.
  3. Bentall, H, Bono, A (1968) A technique for complete replacement of the ascending aorta. Thorax 23: pp. 338-339 36/thx.23.4.338" target="_blank" title="It opens in new window">CrossRef
  4. Sarsam, MA, Yacoub, M (1993) Remodeling of the aortic valve annulus. J Thorac Cardiovasc Surg 105: pp. 435-438
  5. David, TE, Ivanov, J, Armstrong, S, Feindel, CM, Webb, GD (2002) Aortic valve-sparing operations in patients with aneurysms of the aortic root or ascending aorta. Ann Thorac Surg 74: pp. S1758-S1761 3-4975(02)04135-8" target="_blank" title="It opens in new window">CrossRef
  6. Cochran, RP, Kunzelman, KS, Eddy, AC, Hofer, BO, Verrier, ED (1995) Modified conduit preparation creates a pseudosinus in an aortic valve-sparing procedure for aneurysm of the ascending aorta. J Thorac Cardiovasc Surg 109: pp. 1049-1057 3(95)70187-7" target="_blank" title="It opens in new window">CrossRef
  7. Paulis, R, Bassano, C, Scaffa, R, Nardi, P, Bertoldo, F, Chiariello, L (2004) Bentall procedures with a novel valved conduit incorporating 鈥渟inuses of Valsalva鈥? Surg Technol Int 12: pp. 195-200
  8. Fazel, SS, David, TE (2007) Aortic valve-sparing operations for aortic root and ascending aortic aneurysms. Curr Opin Cardiol 22: pp. 497-503 3e3282efa0f4" target="_blank" title="It opens in new window">CrossRef
  9. Demers, P, Miller, DC (2004) Simple modification of 鈥淭. David-V鈥?valve-sparing aortic root replacement to create graft pseudosinuses. Ann Thorac Surg 78: pp. 1479-1481 3.08.032" target="_blank" title="It opens in new window">CrossRef
  10. Gleason, TG (2006) Aortic annuloplasty and valve-sparing root replacement: details of the primary suture line. J Thorac Cardiovasc Surg 131: pp. 502-503 CrossRef
  11. Subramanian, S, Leontyev, S, Borger, MA, Trommer, C, Misfeld, M, Mohr, FW (2012) Valve-sparing root reconstruction does not compromise survival in acute type A aortic聽dissection. Ann Thorac Surg 94: pp. 1230-1234 CrossRef
  12. Kallenbach, K, Oelze, T, Salcher, R, Hagl, C, Karck, M, Leyh, RG, Haverich, A (2004) Evolving strategies for treatment of acute aortic dissection type A. Circulation 110: pp. II243-II249
  13. Davies, RR, Gallo, A, Coady, MA, Tellides, G, Botta, DM, Burke, B, Coe, MP, Kopf, GS, Elefteriades, JA (2006) Novel measurement of relative aortic size predicts rupture of thoracic aortic aneurysms. Ann Thorac Surg 81: pp. 169-177 CrossRef
  14. Fukuda, I, Fujimori, S, Daitoku, K, Yanaoka, H, Inamura, T (2009) Flow velocity and turbulence in the transverse aorta of a proximally directed aortic cannula: hydrodynamic study in a transparent model. Ann Thorac Surg 87: pp. 1866-1871 3.054" target="_blank" title="It opens in new window">CrossRef
  15. Sabik, JF, Lytle, BW, McCarthy, PM, Cosgrove, DM (1995) Axillary artery: an alternative site of arterial cannulation for patients with extensive aortic and peripheral vascular disease. J Thorac Cardiovasc Surg 109: pp. 885-890 3(95)70312-8" target="_blank" title="It opens in new window">CrossRef
  16. Okada, K, Omura, A, Kano, H, Inoue, T, Oka, T, Minami, H, Okita, Y (2013) Effect of atherothrombotic aorta on outcomes of total aortic聽arch聽replacement. J Thorac Cardiovasc Surg 145: pp. 984-991 3.048" target="_blank" title="It opens in new window">CrossRef
  17. Creech, O, DeBakey, ME, Mahaffey, DE (1956) Total resection of the aortic arch. Surgery 40: pp. 817-830
  18. Frist, WH, Baldwin, JC, Starnes, VA, Stinson, EB, Oyer, PE, Miller, DC, Jamieson, SW, Mitchell, RS, Shumway, NE (1986) A reconsideration of cerebral perfusion in aortic arch replacement. Ann Thorac Surg 42: pp. 273-281 3-4975(10)62733-6" target="_blank" title="It opens in new window">CrossRef
  19. Guilmet, D, Roux, PM, Bachet, J, Goudot, B, Tawil, N, Diaz, F (1986) A new technic of cerebral protection. Surgery of the aortic arch. Presse Med 7: pp. 1096-1098
  20. Kazui, T, Inoue, N, Yamada, O, Komatsu, S (1992) Selective cerebral perfusion during operation for aneurysms of the aortic arch: a reassessment. Ann Thorac Surg 53: pp. 109-114 3-4975(92)90767-X" target="_blank" title="It opens in new window">CrossRef
  21. Zierer A, Risteski P, El-Sayed Ahmad A, Moritz A, Diegeler A, Urbanski PP. The impact of unilateral versus bilateral antegrade cerebral perfusion on surgical outcomes after aortic arch replacement: A propensity-matched analysis. J Thorac Cardiovasc Surg. 2014. doi:10.1016/j.jtcvs.2013.12.022 .
  22. Papantchev, V, Stoinova, V, Aleksandrov, A, Todorova-Papantcheva, D, Hristov, S, Petkov, D, Nachev, G, Ovtscharoff, W (2013) The role of Willis circle variations during unilateral selective cerebral perfusion: a study of 500 circles. Eur J Cardiothorac Surg 44: pp. 743-753 3/ejcts/ezt103" target="_blank" title="It opens in new window">CrossRef
  23. Kamiya, H, Hagl, C, Kropivnitskaya, I, B枚thig, D, Kallenbach, K, Khaladj, N, Martens, A, Haverich, A, Karck, M (2007) The safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion: a propensity score analysis. J Thorac Cardiovasc Surg 133: pp. 501-509 CrossRef
  24. Luehr, M, Bachet, J, Mohr, FW, Etz, CD (2014) Modern temperature management in aortic arch surgery: the dilemma of moderate hypothermia. Eur J Cardiothorac Surg 45: pp. 27-39 3/ejcts/ezt154" target="_blank" title="It opens in new window">CrossRef
  25. Okita, Y, Minatoya, K, Tagusari, O, Ando, M, Nagatsuka, K, Kitamura, S (2001) Prospective comparative study of brain protection in total aortic arch replacement: deep hypothermic circulatory arrest with retrograde cerebral perfusion or selective antegrade cerebral perfusion. Ann Thorac Surg 72: pp. 72-79 3-4975(01)02671-6" target="_blank" title="It opens in new window">CrossRef
  26. Okita, Y, Takamoto, S, Ando, M, Morota, T, Matsukawa, R, Kawashima, Y (1998) Mortality and cerebral outcome in patients who underwent aortic arch operations using deep hypothermic circulatory arrest with retrograde cerebral perfusion: no relation of early death, stroke, and delirium to the duration of circulatory arrest. J Thorac Cardiovasc Surg 115: pp. 129-138 3(98)70451-9" target="_blank" title="It opens in new window">CrossRef
  27. Ueda, Y, Okita, Y, Aomi, S, Koyanagi, H, Takamoto, S (1999) Retrograde cerebral perfusion for aortic arch surgery: analysis of risk factors. Ann Thorac Surg 67: pp. 1879-1882 3-4975(99)00415-4" target="_blank" title="It opens in new window">CrossRef
  28. Spielvogel, D, Mathur, MN, Lansman, SL, Griepp, RB (2003) Aortic arch reconstruction using a trifurcated graft. Ann Thorac Surg 75: pp. 1034-1036 3-4975(02)04340-0" target="_blank" title="It opens in new window">CrossRef
  29. Usui, A, Miyata, H, Ueda, Y, Motomura, N, Takamoto, S (2012) Risk-adjusted and case-matched comparative study between antegrade and retrograde cerebral perfusion during aortic arch surgery: based on the Japan Adult Cardiovascular Surgery Database: the Japan Cardiovascular Surgery Database Organization. Gen Thorac Cardiovasc Surg 60: pp. 132-139 CrossRef
  30. DeBakey, ME, Crawford, ES, Garrett, HE, Beall, AC, Howell, JF (1965) Surgical considerations in the treatment of aneurysms of the thoraco-abdominal aorta. Ann Surg 162: pp. 650-652 CrossRef
  31. Crawford, ES, Snyder, DM, Cho, GC, Roehm, JO (1978) Progress in treatment of thoracoabdominal and abdominal aortic aneurysms involving celiac, superior mesenteric and renal arteries. Ann Surg 188: pp. 404-422 CrossRef
  32. Crawford, ES, Crawford, JL, Safi, HJ, Coselli, JS, Hess, KR, Brooks, B, Norton, HJ, Glaeser, DH (1986) Thoracoabdominal aortic aneurysms: preoperative and intraoperative factors determining immediate and long-term results of operations in 605 patients. J Vasc Surg 3: pp. 389-404 30389" target="_blank" title="It opens in new window">CrossRef
  33. Coselli, JS, Bozinovski, J, LeMaire, SA (2007) Open surgical repair of 2286 thoracoabdominal aortic aneurysms. Ann Thorac Surg 83: pp. S862-S864 CrossRef
  34. Safi, HJ, Estrera, AL, Miller, CC, Huynh, TT, Porat, EE, Azizzadeh, A, Meada, R, Goodrick, JS (2005) Evolution of risk for neurologic deficit after descending and thoracoabdominal aortic repair. Ann Thorac Surg 80: pp. 2173-2179 CrossRef
  35. Segesser, LK, Killer, I, Jenni, R, Lutz, U, Turina, MI (1993) Improved distal circulatory support for repair of descending thoracic aortic aneurysms. Ann Thorac Surg 56: pp. 1373-1380 3-4975(93)90684-A" target="_blank" title="It opens in new window">CrossRef
  36. Nijenhuis, RJ, Jacobs, MJ, Schurink, GW, Kessels, AG, Engelshoven, JM, Backes, WH (2007) Magnetic resonance angiography and neuromonitoring to assess spinal cord blood supply in thoracic and thoracoabdominal aortic aneurysm surgery. J Vasc Surg 45: pp. 71-77 CrossRef
  37. Maire, SA, Price, MD, Green, SY, Zarda, S, Coselli, JS (2012) Results of open thoracoabdominal aortic aneurysm repair. Ann Cardiothorac Surg 1: pp. 286-292
  38. Adamkiewicz, AA (1882) Die blutegef盲sse des menschlichen R眉ckenmarkes II Die gef盲sse der R眉ckenmarksoberfl盲che. Sitzungsberichte der kaiserlichen Akademie der Wissenschaften. Mathematische-Naturwissenschaftliche Classe 85: pp. 101-130
  39. Halstead, JC, Wurm, M, Etz, C, Zhang, N, Bodian, C, Weisz, D, Griepp, RB (2007) Preservation of spinal cord function after extensive segmental artery sacrifice: regional variations in perfusion. Ann Thorac Surg 84: pp. 789-794 3" target="_blank" title="It opens in new window">CrossRef
  40. Yoshioka, K, Niinuma, H, Ohira, A, Kawakami, T, Kawazoe, K (2004) Three-dimensional demonstration of the artery of Adamkiewicz by multidetector-row computed tomography. Ann Thorac Surg 78: pp. 719 3-4975(03)01266-9" target="_blank" title="It opens in new window">CrossRef
  41. Acher, CW, Wynn, M (2009) A modern theory of paraplegia in the treatment of aneurysms of the聽thoracoabdominal聽aorta: an analysis of technique specific observed/expected ratios for paralysis. J Vasc Surg 49: pp. 1117-1124 CrossRef
  42. Lancaster, RT, Conrad, MF, Patel, VI, Cambria, MR, Ergul, EA, Cambria, RP (2013) Further experience with distal aortic perfusion and motor-evoked potential monitoring in the management of extent I-III thoracoabdominal aortic anuerysms. J Vasc Surg 58: pp. 283-290 3.01.042" target="_blank" title="It opens in new window">CrossRef
  43. Miyamoto, K, Ueno, A, Wada, T, Kimoto, S (1960) A new and simple method of preventing spinal cord damage following temporary occlusion of the thoracic aorta by draining the cerebrospinal fluid. J Cardiovasc Surg (Torino) 1: pp. 188-197
  44. Coselli, JS, LeMaire, SA, K枚ksoy, C, Schmittling, ZC, Curling, PE (2002) Cerebrospinal fluid drainage reduces paraplegia after thoracoabdominal aortic aneurysm repair: results of a randomized clinical trial. J Vasc Surg 35: pp. 631-639 CrossRef
  45. Kouchoukos, NT, Wareing, TH, Izumoto, H, Klausing, W, Abboud, N (1990) Elective hypothermic cardiopulmonary bypass and circulatory arrest for spinal cord protection during operations on the thoracoabdominal aorta. J Thorac Cardiovasc Surg 99: pp. 659-664
  46. Fehrenbacher, JW, Siderys, H, Terry, C, Kuhn, J, Corvera, JS (2010) Early and late results of descending thoracic and thoracoabdominal aortic aneurysm open repair with deep hypothermia and circulatory arrest. J Thorac Cardiovasc Surg 140: pp. S154-S160 CrossRef
  47. Cambria, RP, Davison, JK, Zannetti, S, L鈥橧talien, G, Brewster, DC, Gertler, JP, Moncure, AC, LaMuraglia, GM, Abbott, WM (1997) Clinical experience with epidural cooling for spinal cord protection during thoracic and thoracoabdominal aneurysm repair. J Vasc Surg 25: pp. 234-241 365-3" target="_blank" title="It opens in new window">CrossRef
  48. Inoue, S, Mori, A, Shimizu, H, Yoshitake, A, Tashiro, R, Kabei, N, Yozu, R (2013) Combined use of an epidural cooling catheter and systemic moderate hypothermia enhances spinal cord protection against ischemic injury in rabbits. J Thorac Cardiovasc Surg 146: pp. 696-701 CrossRef
  49. Ozgiray, E, Serarslan, Y, Ozt眉rk, OH, Alta艧, M, Aras, M, S枚臒眉t, S, Yurtseven, T, Oran, I, Zileli, M (2011) Protective effects of edaravone on experimental spinal cord injury in rats. Pediatr Neurosurg 47: pp. 254-260 335400" target="_blank" title="It opens in new window">CrossRef
  50. Murai, T (1988) Aortic dissection and sudden death鈥攕tatistical analysis on 1320 cases autopsied at Tokyo-to Medical Examiner Office. Nihon Hoigaku Zasshi. 42: pp. 564-577
  51. Kazui, T, Osada, H, Fujita, H (2007) An attempt to analyze the relation between hospital surgical volume and clinical outcome. Committee for Scientific Affairs. Gen Thorac Cardiovasc Surg 55: pp. 483-492 CrossRef
  52. Sakata, R, Kuwano, H, Yokomise, H (2012) Hospital volume and outcomes of cardiothoracic surgery in Japan: 2005鈥?009 national survey. Gen Thorac Cardiovasc Surg 60: pp. 625-638 CrossRef
  53. Tanaka, H, Okada, K, Yamashita, T, Morimoto, Y, Kawanishi, Y, Okita, Y (2005) Surgical results of acute aortic dissection complicated with cerebral malperfusion. Ann Thorac Surg 80: pp. 72-76 CrossRef
  54. Eusanio, M, Patel, HJ, Nienaber, CA, Montgomery, DM, Korach, A, Sundt, TM, Devincentiis, C, Voehringer, M, Peterson, MD, Myrmel, T, Folesani, G, Larsen, M, Desai, ND, Bavaria, JE, Appoo, JJ, Kieser, TM, Fattori, R, Eagle, K, Bartolomeo, R, Trimarchi, S (2013) Patients with type A acute aortic dissection presenting with major brain injury: should we operate on them?. J Thorac Cardiovasc Surg 145: pp. S213-S221 CrossRef
  55. Imoto, K, Uchida, K, Karube, N, Yasutsune, T, Cho, T, Kimura, K, Masuda, M, Morita, S (2013) Risk analysis and improvement of strategies in patients who have acute type A aortic dissection with coronary artery dissection. Eur J Cardiothorac Surg 44: pp. 419-424 3/ejcts/ezt060" target="_blank" title="It opens in new window">CrossRef
  56. Munakata, H, Okada, K, Hasegawa, T, Hino, Y, Kano, H, Matsumori, M, Okita, Y (2010) Controlled low-flow reperfusion after warm brain ischemia reduces reperfusion injury in canine model. Perfusion 25: pp. 159-168 370068" target="_blank" title="It opens in new window">CrossRef
  57. Patel, HJ, Williams, DM, Dasika, NL, Suzuki, Y, Deeb, GM (2008) Operative delay for peripheral malperfusion syndrome in acute type A aortic dissection: a long-term analysis. J Thorac Cardiovasc Surg 135: pp. 1288-1295 CrossRef
  58. White, RA, Miller, DC, Criado, FJ, Dake, MD, Diethrich, EB, Greenberg, RK, Piccolo, RS (2011) Siami FS; Multidisciplinary Society for Vascular Surgery Outcomes Committee. Report on the results of thoracic endovascular aortic repair for acute, complicated, type B aortic dissection at 30聽days and 1聽year from a multidisciplinary subcommittee of the Society for Vascular Surgery Outcomes Committee. J Vasc Surg 53: pp. 1082-1090 CrossRef
  59. Okada, K, Sueda, T, Orihashi, K, Imai, K, Sugawara, Y, Hamamoto, M (2005) Rescue visceral revascularization without direct aortic surgery to treat malperfusion complicating type B aortic dissection. Ann Thorac Surg 80: pp. 318-320 CrossRef
  60. Kazui, T, Washiyama, N, Muhammad, BA, Terada, H, Yamashita, K, Takinami, M, Tamiya, Y (2000) Extended total arch replacement for acute type A aortic dissection: experience with seventy patients. J Thorac Cardiovasc Surg 119: pp. 558-565 3(00)70136-X" target="_blank" title="It opens in new window">CrossRef
  61. Ando, M, Takamoto, S, Okita, Y, Morota, T, Matsukawa, R, Kitamura, S (1998) Elephant trunk procedure for surgical treatment of aortic dissection. Ann Thorac Surg 66: pp. 82-87 3-4975(98)00349-X" target="_blank" title="It opens in new window">CrossRef
  62. Tsagakis, K, Dohle, D, Benedik, J, Lieder, H, Jakob, H (2013) Overall Essen鈥檚 experience with the E-vita open hybrid stent graft system and evolution of the surgical technique. Ann Cardiothorac Surg. 2: pp. 612-620
  63. Uchida, N, Shibamura, H, Katayama, A, Shimada, N, Sutoh, M (2009) Total arch replacement with an open stent graft for acute type A aortic dissection: fate of the false lumen. Eur J Cardiothorac Surg 35: pp. 83-88 34" target="_blank" title="It opens in new window">CrossRef
  64. Svensson, LG, Kouchoukos, NT, Miller, DC, Bavaria, JE, Coselli, JS, Curi, MA, Eggebrecht, H, Elefteriades, JA, Erbel, R, Gleason, TG, Lytle, BW, Mitchell, RS, Nienaber, CA, Roselli, EE, Safi, HJ, Shemin, RJ, Sicard, GA, Sundt, TM, Szeto, WY, Wheatley, GH (2008) Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg 85: pp. S1-S41 CrossRef
  65. Nienaber, CA, Kische, S, Rousseau, H, Eggebrecht, H, Rehders, TC, Kundt, G, Glass, A, Scheinert, D, Czerny, M, Kleinfeldt, T, Zipfel, B, Labrousse, L, Fattori, R, Ince, H (2013) Endovascular repair of type B aortic dissection: long-term results of the randomized investigation of stent grafts in aortic dissection trial. Circ Cardiovasc Interv 6: pp. 407-416 3.000463" target="_blank" title="It opens in new window">CrossRef
  66. Yamanaka K, Omura A, Nomura Y, Miyahara S, Shirasaka T, Sakamoto T, Inoue T, Matsumori M, Minami H, Okada K, Okita Y. Surgical strategy for aorta-related infection. Eur J Cardiothorac Surg. 2014. doi:10.1093/ejcts/ezu119 .
  67. Okada, K, Tanaka, H, Takahashi, H, Morimoto, N, Munakata, H, Asano, M, Matsumori, M, Kawanishi, Y, Nakagiri, K, Okita, Y (2008) Aortic root replacement for destructive aortic valve endocarditis with left ventricular-aortic discontinuity. Ann Thorac Surg 85: pp. 940-945 CrossRef
  68. Yankah, AC, Pasic, M, Klose, H, Siniawski, H, Weng, Y, Hetzer, R (2005) Homograft reconstruction of the aortic root for endocarditis with periannular abscess: a 17-year study. Eur J Cardiothorac Surg 28: pp. 69-75 3.017" target="_blank" title="It opens in new window">CrossRef
  69. Czerny, M, Eggebrecht, H, Sodeck, G, Weigang, E, Livi, U, Verzini, F, Schmidli, J, Chiesa, R, Melissano, G, Kahlberg, A, Amabile, P, Harringer, W, Horacek, M, Erbel, R, Park, KH, Beyersdorf, F, Rylski, B, Blanke, P, Canaud, L, Khoynezhad, A, Lonn, L, Rousseau, H, Trimarchi, S, Brunkwall, J, Gawenda, M, Dong, Z, Fu, W, Schuster, I, Grimm, M (2014) New insights regarding the incidence, presentation and treatment options of aorto-oesophageal fistulation after thoracic endovascular aortic repair: the European Registry of Endovascular Aortic Repair Complications. Eur J Cardiothorac Surg 45: pp. 452-457 3/ejcts/ezt393" target="_blank" title="It opens in new window">CrossRef
  70. Okita Y, Yamanaka K, Okada K, Matsumori M, Inoue T, Fukase K, Sakamoto T, Miyahara S, Shirasaka T, Izawa N, Ohara T, Nomura Y, Nakai H, Gotake Y, Kano H. Strategies for the treatment for aorto-oesophageal fistula. Eur J Cardiothorac Surg. 2014. doi:10.1093/ejcts/ezu094 .
  71. Ishimaru, S (2006) Endovascular stent-graft repair for thoracic aortic aneurysm. Kyobu Geka 59: pp. 666-673
  72. Trimarchi, S, Nienaber, CA, Rampoldi, V, Myrmel, T, Suzuki, T, Bossone, E, Tolva, V, Deeb, MG, Upchurch, GR, Cooper, JV, Fang, J, Isselbacher, EM, Sundt, TM, Eagle, KA (2006) Role and results of surgery in acute type B aortic dissection: insights from the International Registry of Acute Aortic Dissection (IRAD). Circulation. 114: pp. I357-I364
  73. Roselli, EE, Greenberg, RK, Pfaff, K, Francis, C, Svensson, LG, Lytle, BW (2007) Endovascular treatment of thoracoabdominal aortic aneurysms. J Thorac Cardiovasc Surg 133: pp. 1474-1482 CrossRef
  74. Muhs, BE, Verhoeven, EL, Zeebregts, CJ, Tielliu, IF, Prins, TR, Verhagen, HJ, Dungen, JJ (2006) Mid-term results of endovascular aneurysm repair with branched and fenestrated endografts. J Vasc Surg 44: pp. 9-15 CrossRef
  75. Tshomba, Y, Melissano, G, Logaldo, D, Rinaldi, E, Bertoglio, L, Civilini, E, Psacharopulo, D, Chiesa, R (2012) Clinical outcomes of hybrid repair for thoracoabdominal aortic aneurysms. Ann Cardiothorac Surg 1: pp. 293-303
  76. Cambria RP, Crawford RS, Cho JS, Bavaria J, Farber M, Lee WA, Ramaiah V, Kwolek CJ; GORE TAG Investigators. A multicenter clinical trial of endovascular stent graft repair of acute catastrophes of the descending thoracic aorta. J Vasc Surg. 2009;50:1255鈥?4.e1鈥?.
  77. Tang, DG, Dake, MD (2009) TEVAR for acute uncomplicated aortic dissection: immediate repair versus medical therapy. Semin Vasc Surg 22: pp. 145-151 3/j.semvascsurg.2009.07.005" target="_blank" title="It opens in new window">CrossRef
  
• 刊物主题：Thoracic Surgery; Cardiac Surgery; Cardiology; Surgical Oncology;
• 出版者：Springer Japan
• ISSN：1863-6713

文摘

Recent advances in surgery for thoracic aorta have been described, including data by the annual survey of the Japanese Association for Thoracic Surgery. Current clinical problems in aortic root surgery, brain protection during aortic arch surgery, spinal cord protection during thoracoabdominal aortic surgery, acute aortic dissection and endovascular stenting have been discussed.