Tominaga R, Nishida T, Morita S, Masuda M, Yasui H
Department of Cardiovascular Surgery, Kyushu University, Faculty of Medicine, Fukuoka, Japan.
Ann Thorac Surg. 2001 Jun;71(6):2030-2. doi: 10.1016/s0003-4975(00)02499-1.
A 63-year-old man had a distal arch aneurysm combined with a circumflex retroesophageal right aortic arch, which is a rare form of vascular ring. By using combined median sternotomy and left thoracotomy under deep hypothermia and retrograde cerebral perfusion, total arch replacement with a vascular graft was successful. We describe our surgical strategy for arch aneurysm associated with an uncommon congenital vascular malformation.
一名63岁男性患有远端主动脉弓动脉瘤，合并右位主动脉弓食管后回旋支，这是一种罕见的血管环形式。通过在深低温和逆行脑灌注下联合正中胸骨切开术和左胸切开术，成功地用血管移植物进行了全弓置换。我们描述了针对与罕见先天性血管畸形相关的主动脉弓动脉瘤的手术策略。
