New ACC/AHA Aortic Disease Management Guidelines: What do they mean for you?
51:56-53:18
And then finally and these were some of the biggest talking points that we added on to the, to the regulations for type A dissection. When there is destruction, extensive destruction of the aortic root or the patient has a root aneurysm or a known genetic aortic disorder such as Marfans, then it is recommended that the aortic root be replaced with either a mechanical or a biological valve conduit.
こちらはA型解離に関する新たな追加項目ですので、ぜひお話したいと思います。解離によって大動脈基部が広範囲に損傷している、あるいは基部の拡張がみられる、マルファン症候群のような遺伝性の大動脈疾患があるといった場合には、機械弁あるいは生体弁による弁置換が推奨されます。
In patients with acute aortic dissections we also recommended it at an open, what's called an open distal anastomosis can be performed. This does require the technique of circulatory arrest and that means that we have to cool you like a popsicle and cool you down so that we can interrupt blood flow for a short period of time to your, your head.
急性大動脈解離の患者さんについては、open distal anastomos（遠位側開放下血管吻合術）が推奨されます。この術式では循環停止が必須で、患者さんをアイスキャンディーのように冷却し、脳への血流を短時間遮断します。
And then the last recommendation is when there is a tear in the arch with an aortic, a type A aortic dissection or the arch is, has a significant size discrepancy a procedure called the hemiarch is recommended. I should say when there's no tear in the arch. The procedure called hemiarch is recommended and that's where a portion of the arch is replaced at the time of dealing with the more approximal aorta, next slide.
A型解離で、弓部に裂傷がない、あるいは弓部の太さに著しい違いがない場合には、ヘミアーチ置換という方法が推奨されます。ヘミアーチ置換は、近位大動脈の処置時に弓部の一部を置換する方法です。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
