Sugimoto T, Ogawa K, Asada T, Mukohara N, Nishiwaki M
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Himeji, Japan.
Chest. 1992 Jul;102(1):322-3. doi: 10.1378/chest.102.1.322.
We report a very rare case of hugh aortic arch aneurysm associated with aortic restenosis, which caused severe hypoxia due to ventilation-perfusion mismatch by compression of the left main bronchus and the right pulmonary artery. Aortic arch replacement was performed under circulatory arrest and deep hypothermia in addition to aortic valve replacement as a redo operation, and consequently such hypoxia was relieved.
我们报告了一例极为罕见的巨大主动脉弓动脉瘤合并主动脉再狭窄病例，该病例因左主支气管和右肺动脉受压导致通气-灌注不匹配，进而引发严重缺氧。作为再次手术，在体外循环停搏和深度低温下进行了主动脉弓置换术，同时还进行了主动脉瓣置换术，从而缓解了缺氧症状。
