在体外循环心脏停跳下经胸壁打孔行升主动脉假性动脉瘤的处理

Management of pseudoaneurysm of the ascending aorta performed under circulatory arrest by port-access.

作者信息

D'Attellis N, Diemont F F, Julia P L, Cardon C, Fabiani J N

机构信息

Department of Cardiovascular Anesthesiology, Broussais Hospital, Paris, France.

出版信息

Ann Thorac Surg. 2001 Mar;71(3):1010-1. doi: 10.1016/s0003-4975(00)02265-7.

DOI:10.1016/s0003-4975(00)02265-7

PMID:11269413

Abstract

Pseudoaneurysms of the ascending aorta following previous thoracic surgery pose a difficult surgical management problem. In this report, we present a case of a patient with aortic insufficiency and a pseudoaneurysm of the ascending aorta at the site of a previous anastomosis. The particularity of this case is in the atypical use of Port-Access technology (Heartport, Redwood City, CA) to overcome surgical concerns [1].

摘要

既往胸部手术后升主动脉假性动脉瘤给手术治疗带来难题。在本报告中，我们呈现了一例患者，其存在主动脉瓣关闭不全，且在既往吻合部位有升主动脉假性动脉瘤。该病例的特殊性在于非典型地使用了经皮穿刺技术（Heartport公司，加利福尼亚州红木城）来解决手术相关问题[1]。