Lorusso R, Coletti G, Totaro P, Maroldi R, Zogno M
Division of Cardiac Surgery, Civil Hospital, Brescia, Italy.
Ann Thorac Surg. 2000 Jan;69(1):275-8. doi: 10.1016/s0003-4975(99)01318-1.
Treatment of huge aneurysms involving the ascending aorta and the aortic arch with compression of the surrounding structures represents a surgical challenge. The case of a patient affected by respiratory insufficiency and sternal erosion caused by chronic giant aortic aneurysm is reported. The use of a stepwise approach and selective cerebral arterial perfusion ensured successful operative management, avoiding circulatory arrest and enabling an expeditious postoperative recovery.
治疗累及升主动脉和主动脉弓并压迫周围结构的巨大动脉瘤是一项外科挑战。本文报道了一例因慢性巨大主动脉瘤导致呼吸功能不全和胸骨侵蚀的患者病例。采用逐步治疗方法和选择性脑动脉灌注确保了手术治疗的成功，避免了循环骤停并促进了术后快速恢复。
