Shigemoto N, Nakao T, Kawaue Y, Mochizuki S
Department of Cardiovascular Surgery, Hiroshima General Hospital, Hatsuka-ichi, Japan.
Kyobu Geka. 2007 Sep;60(10):895-8.
Semi-emergency total aortic arch replacement was performed in a 93-year-old woman with rupture of a true saccular aneurysm at the distal aortic arch. The patient had lived by herself before surgery. She was successfully treated and showed no post-operative cerebral complications. Total aortic arch replacement must be carefully planned, because this surgery is highly invasive and is associated with a high rate of complications. This surgery is sometimes inevitably performed as a life-saving procedure in very old patients. The surgical outcome however, is less favorable. Although we used the "Eaves" technique during surgery to decrease post-operative bleeding, the surgical invasiveness itself was not reduced. Further effort is needed to develop innovative procedures.
对一名93岁女性进行了半急诊全主动脉弓置换术，该患者在主动脉弓远端有一个真性囊状动脉瘤破裂。患者术前独居。她得到了成功治疗，术后未出现脑部并发症。全主动脉弓置换术必须精心规划，因为该手术具有高度侵入性且并发症发生率高。在高龄患者中，这种手术有时不可避免地作为挽救生命的手术进行。然而，手术结果并不理想。尽管我们在手术中使用了“屋檐”技术以减少术后出血，但手术本身的侵入性并未降低。需要进一步努力开发创新手术方法。
