主动脉弓血管及其分支动脉瘤的外科治疗：4例报告

Surgical management of aneurysms of the aortic arch vessels and their branches: report of four cases.

作者信息

Flores Jorge Adalberto, Shiiya Norihiko, Nishibe Toshiya, Miyazaki Keiko, Matsuzaki Kenji, Kunihara Takashi, Watanabe Toru, Kudo Fabio, Murashita Toshifumi, Yasuda Keishu

机构信息

Department of Cardiovascular Surgery, Hokkaido University School of Medicine, K14, N5, Kita-ku, Sapporo 060-8648, Japan.

出版信息

Surg Today. 2003;33(12):917-21. doi: 10.1007/s00595-003-2600-9.

DOI:10.1007/s00595-003-2600-9

PMID:14669083

Abstract

We review the cases of four patients with aneurysms of the aortic arch vessels and their branches. Two patients had a subclavian artery aneurysm, one had an innominate artery aneurysm, and one had a carotid artery aneurysm. We performed surgical reconstruction in all four patients in view of the life-threatening complications of these aneurysms. The approach, methods of surgical repair, and cerebral protection are discussed following these four case reports.

摘要

我们回顾了4例主动脉弓血管及其分支动脉瘤患者的病例。2例患者患有锁骨下动脉动脉瘤，1例患有无名动脉动脉瘤，1例患有颈动脉动脉瘤。鉴于这些动脉瘤会引发危及生命的并发症，我们对所有4例患者进行了手术重建。在这4例病例报告之后，讨论了手术入路、手术修复方法和脑保护措施。