Umeda Yukio, Mori Yoshio, Fukumoto Yukiomi, Iwata Hisashi, Takagi Hisato, Hirose Hajime
Department of Organ Pathobiology, Advanced Surgery, Gifu University, 1-1 Yanagido, Gifu, 501-1194 Japan.
Heart Vessels. 2005 Sep;20(5):212-6. doi: 10.1007/s00380-005-0835-7.
We studied the outcome of our modified aortic arch replacement procedure in which the distal end of the graft is anastomosed between the left common carotid artery and the left subclavian artery including the postoperative physical status of the left arm in comparison with the conventional technique. We assessed the surgical outcome of 26 patients who underwent our new technique and 11 patients who underwent the conventional one. Postoperative clinical symptoms and physical status of the left arm were also evaluated. No operative deaths were observed in the new technique group and one operative death was observed in the conventional group (9.1%). No significant differences between the two groups in postoperative clinical symptoms and the physical status of the left arm were observed. Our "distal anastomosis to the proximal level of the left subclavian artery" technique made aortic arch replacement easier and steadier with a satisfactory surgical outcome in comparison with the conventional method. The postoperative clinical symptoms and physical status of the left arm in the new technique group were identical to those in the conventional group.
我们研究了改良主动脉弓置换术的效果，该术式将移植物远端吻合于左颈总动脉和左锁骨下动脉之间，同时对比了传统技术，包括术后左臂的身体状况。我们评估了26例行新技术手术的患者和11例行传统手术的患者的手术结果。还对术后临床症状和左臂身体状况进行了评估。新技术组未观察到手术死亡，传统组观察到1例手术死亡（9.1%）。两组在术后临床症状和左臂身体状况方面未观察到显著差异。与传统方法相比，我们的“在左锁骨下动脉近端水平进行远端吻合”技术使主动脉弓置换更容易、更稳定，手术结果令人满意。新技术组术后临床症状和左臂身体状况与传统组相同。
