Ishikura Y, Odagiri S, Shimazu A, Yoshimatsu H
Department of Thoracic and Cardiovascular Surgery, School of Medicine, University of Occupational & Environmental Health, Fukuoka, Japan.
Jpn J Surg. 1991 Jan;21(1):120-4. doi: 10.1007/BF02470877.
A 44 year old man underwent successful surgery for a thoracoabdominal aortic aneurysm using a permanent bypass graft and aneurysmoplasty. This technique reduces visceral ischemia to a minimum and the aneurysmoplasty, through total preservation of the intercostal and lumbar arteries, can avoid paraplegia caused by spinal cord ischemia. Our technique is recommended as it can be performed easily, safely, and effectively without heparinization, temporary shunts or bypass perfusion.
一名44岁男性接受了胸腹主动脉瘤手术，手术使用永久性旁路移植物和动脉瘤成形术，手术成功。该技术将内脏缺血降至最低，并且通过完全保留肋间动脉和腰动脉的动脉瘤成形术，可以避免脊髓缺血引起的截瘫。我们的技术值得推荐，因为它无需肝素化、临时分流或旁路灌注，即可轻松、安全且有效地实施。
