Frank M W, Blakeman B P
Department of Cardiovascular and Thoracic Surgery, Loyola University, Chicago, Illinois, USA.
Tex Heart Inst J. 2000;27(4):412-3.
Surgical treatment of the combination of aneurysms of an aberrant right subclavian artery, distal aortic arch, and descending thoracic aorta requires control of structures in both the right and the left hemithorax. We report a 2-stage surgical approach. The 1st stage, performed through a median sternotomy, consists of an elephant trunk reconstruction and an interposition graft to the ligated aberrant right subclavian artery. The 2nd stage, performed through a left thoracotomy is an interposition graft from the elephant trunk to the distal descending thoracic aorta.
异常右锁骨下动脉、主动脉弓远端和胸降主动脉联合动脉瘤的手术治疗需要控制左右半胸的结构。我们报告一种两阶段手术方法。第一阶段通过正中胸骨切开术进行,包括象鼻重建和对结扎的异常右锁骨下动脉进行间置移植。第二阶段通过左胸切开术进行,是从象鼻到胸降主动脉远端的间置移植。