关键词: 护理 , 主动脉, 支架“象鼻”手术, 深低温停循环, 升主动脉全弓置换

Abstract:

Objective To report the nursing procedure and experience for ascending aortic arch replacement combined with descending aortic arch stent “elephant trunk”implantation during deep hypothermic circulatory arrest. Methods Between May 2013 and December 2016, 38 patients admitted to our hospital for acute type A dissection underwent ascending aortic arch replacement combined with descending aortic arch stent“elephant trunk”implantation during deep hypothermic circulatory arrest. Results The cardiac surgery were successfully accomplished in 38 out of 38 cases, and the patients were followed up for 2 to 27 months to assess the effects of the nursing procedure on Stanford A type aortic dissection surgery during deep hypothermic circulatory arrest. All 38 patients were in good general condition in the period of followed up. Conclusion In Stanford type A aortic dissection patients with ascending aortic arch replacement combined with descending aortic arch stent “elephant trunk” implantation, there were net benefits in the strengthen of nursing management that, at 2 to 27 months of follow up, help reduce the risk of clinical outcomes.

Key words: aorta, deep hypothermic circulatory arrest, stent “elephant trunk”surgery, nursing, ascending aortic arch replacement