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本文引用的文献

1
Perigraft to right atrial shunt by using autologous pericardium for control of bleeding in acute type A dissections.采用自体心包进行移植物周围至右心房分流以控制急性A型主动脉夹层出血。
Ann Thorac Surg. 2002 Oct;74(4):1071-4. doi: 10.1016/s0003-4975(02)03883-3.
2
Aortic root replacement with coronary button re-implantation: low risk and predictable outcome.带冠状动脉纽扣再植入的主动脉根部置换术：低风险且预后可预测。
Eur J Cardiothorac Surg. 2000 Mar;17(3):259-65. doi: 10.1016/s1010-7940(00)00347-x.
3
Shunt control of bleeding after homograft replacement of the ascending aorta.
Ann Thorac Surg. 1999 Apr;67(4):1162-3. doi: 10.1016/s0003-4975(99)00125-3.
4
Long-term results with total replacement of the ascending aorta and reimplantation of the coronary arteries.升主动脉全置换及冠状动脉再植术的长期结果。
J Thorac Cardiovasc Surg. 1986 Jan;91(1):17-25.
5
Modified Cabrol shunt for control of hemorrhage in repair of type A dissection of the aorta.改良卡布罗分流术用于控制A型主动脉夹层修复术中的出血。
Ann Thorac Surg. 1989 Nov;48(5):709-11. doi: 10.1016/0003-4975(89)90799-6.
6
Use of pericardium to control bleeding after ascending aortic graft replacement.在升主动脉移植置换术后使用心包来控制出血。
Ann Thorac Surg. 1989 Nov;48(5):706-8. doi: 10.1016/0003-4975(89)90798-4.

用于主动脉根部止血的移植物至右心房分流术。

Perigraft-to-right atrial shunt for aortic root hemostasis.

作者信息

Kao Chiung-Lun, Chang Jen-Ping

机构信息

Division of Thoracic and Cardiovascular Surgery, Chang Gung Memorial Hospital at Kaohsiung, Taiwan, Republic of China.

出版信息

Tex Heart Inst J. 2003;30(3):205-7.

PMID:12959203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC197318/
Abstract

We have modified the technique of perigraft-to-right atrial shunt to control hemorrhage after aortic root replacement. We have performed this operation in 2 patients, including one who had acute aortic dissection and another who underwent aortic root replacement and single-vessel coronary artery bypass. Neither patient required re-exploration for bleeding, and both shunts closed spontaneously during the follow-up period without any related complications. With this modification, even in the presence of concomitant coronary artery bypass grafting, hemostasis was achieved with preservation of the proximal vein graft.

摘要

我们改进了心包至右心房分流术的技术，以控制主动脉根部置换术后的出血。我们已对2例患者实施了该手术，其中1例为急性主动脉夹层，另1例接受了主动脉根部置换和单支冠状动脉旁路移植术。2例患者均无需因出血而再次手术探查，且在随访期间分流均自行闭合，未出现任何相关并发症。通过这种改进，即使在同时进行冠状动脉旁路移植术的情况下，也能在保留近端静脉移植物的同时实现止血。