Mihaljevic T, Tönz M, von Segesser L K, Turina M I
Clinic for Cardiovascular Surgery, University Hospital, Zurich, Switzerland.
Ann Thorac Surg. 1999 May;67(5):1497-9. doi: 10.1016/s0003-4975(99)00210-6.
The outcome of patients with thoracic or thoracoabdominal aortic aneurysm is often determined by the concomitant coronary artery disease. Two patients with thoracic and thoracoabdominal aortic aneurysm and concomitant single-vessel coronary artery disease underwent combined myocardial revascularization and repair of aortic aneurysm. The operations were performed through a left thoracotomy and thoracoabdominal incision with distal aortic perfusion using a partial femoro-femoral bypass and selective right lung ventilation. Coronary anastomoses were performed on the beating heart, and the aneurysm was replaced with a woven Dacron tube graft.
胸主动脉或胸腹主动脉瘤患者的预后通常由合并的冠状动脉疾病决定。两名患有胸主动脉和胸腹主动脉瘤并合并单支冠状动脉疾病的患者接受了心肌血运重建和主动脉瘤修复联合手术。手术通过左胸切口和胸腹联合切口进行，使用部分股-股旁路进行远端主动脉灌注并采用选择性右肺通气。在心脏跳动时进行冠状动脉吻合，并用编织涤纶人工血管替换动脉瘤。
