부산대학교 도서관

ABSTRACT:: Aortic dissection is a common disease which is very dangerous, with high mortality rate. Bypass graft for the treatment of DeBakey ‡III dissection has outstanding advantages than the ordinary replacement of thoracic aorta, and some patients will inevitably require the use of the procedure. The purpose of this study was to explore the impact of the subclavian artery-abdominal aorta bypass graft on hemodynamic parameters in the false lumen and the effectiveness of surgical treatment. First of all, the idealized three-dimensional geometric models of DeBakey ‡III aortic dissection and its subclavian artery-abdominal aorta bypass graft operation were constructed, respectively. Then the models were imported into ANSYS 11.0 for finite element analysis. Results of numerical simulation showed that both velocity and pressure of the blood flow were reduced after bypass graft at the entrance and in the internal sac of false lumen, which is very favorable for reducing the impact of blood flow on false lumen, slowing down the further expansion of entrance, preventing the breakdown of false lumen, and promoting the healing of dissection. Therefore, the subclavian artery-abdominal aorta bypass graft operation is an effective surgical method for the treatment of DeBakey ‡III aortic dissection in some particular cases. This operation is with great prospects for clinical application.