Aoyagi S, Akashi H, Kubota Y, Fujino T, Kosuga K, Oishi K
Second Department of Surgery, Kurume University, School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Jun;39(6):974-8.
Two patients underwent aortic arch replacement for the dissecting aneurysm of the aorta using a simplified cardiopulmonary bypass (CPB) technique with partial brachiocephalic perfusion, moderate systemic cooling (22 degrees to 23 degrees C), and open aortic anastomosis were reported. The partial brachiocephalic perfusion was accomplished by perfusion to the right axillary artery using separate pump. Open distal anastomosis was performed under low flow hypothermic perfusion of the lower body during selective perfusion to the brain. Cardiopulmonary bypass and partial brachiocephalic perfusion time were 170 minutes, and 30 minutes in one case, and 207 minutes, 56 minutes in the other case. Both patients survived operations, and there were no postoperative strokes, and neurological complications. On the basis of these results, we discussed about supportive methods for aortic arch surgery.
报道了2例患者采用简化体外循环（CPB）技术，即部分头臂灌注、中度全身降温（22℃至23℃）及主动脉开放吻合术，进行主动脉弓置换术以治疗主动脉夹层动脉瘤。部分头臂灌注通过使用单独的泵向右腋动脉灌注来完成。在对脑部进行选择性灌注时，在低流量低温灌注下半身的情况下进行远端开放吻合术。1例患者的体外循环和部分头臂灌注时间分别为170分钟和30分钟，另一例患者分别为207分钟和56分钟。两名患者均手术存活，且术后无中风及神经并发症。基于这些结果，我们讨论了主动脉弓手术的支持方法。
