Kikuchi Keita, Makuuchi Haruo, Oono Makoto, Murakami Hiroshi, Suzuki Takamaro, Ando Takashi
Department of Cardiovascular and General Surgery, Shimane University Faculty of Medicine, 89-1 Enya-cho, Izumo, Shimane 693-8501, Japan.
Jpn J Thorac Cardiovasc Surg. 2005 Dec;53(12):632-4. doi: 10.1007/BF02665073.
On diagnosis of Stanford type A acute aortic dissection with an aberrant right subclavian artery, emergency operation was performed. Aortic arch replacement was undertaken with additional 'elephant trunk' procedure to cover the entry site and decrease the blood flow through the false lumen. We consider this technique will become one of the effective procedures for acute aortic dissection involving an aberrant right subclavian artery.
诊断为 Stanford A 型急性主动脉夹层合并右锁骨下动脉异常后，实施了急诊手术。进行了主动脉弓置换术，并附加了“象鼻”手术，以覆盖入口部位并减少通过假腔的血流。我们认为该技术将成为治疗合并右锁骨下动脉异常的急性主动脉夹层的有效方法之一。
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