Nishiuchi S, Shomura T, Yuasa H
Department of Thoracic and Cardiovascular Surgery, Kobe City General Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1992 Jun;40(6):1029-33.
A 46-year-old male patient with aneurysm involving the distal arch and the descending aorta was operated on successfully. Graft replacement of aneurysm with inclusion method was performed through median sternotomy with left pleurotomy. One month after operation, CT scan showed thrombus occupied between the graft and the aneurysm, and two years postoperatively, the aneurysm shrunk almost to normal size of the aorta. Therefore, our surgical procedure was considered to be proper.
一名46岁男性患者，动脉瘤累及主动脉弓远端和降主动脉，手术成功。采用包裹法行动脉瘤人工血管置换术，经正中胸骨劈开切口并切开左胸膜。术后1个月，CT扫描显示人工血管与动脉瘤之间有血栓形成，术后2年，动脉瘤几乎缩小至主动脉正常大小。因此，我们认为该手术方法是合适的。
