Choh Tomoki, Suzuki Shin-ichi, Isomatsu Yukihisa, Masuda Munetaka
Department of Surgery, Yokohama City University, Yokohama, Japan.
Interact Cardiovasc Thorac Surg. 2009 Feb;8(2):269-71. doi: 10.1510/icvts.2008.189787. Epub 2008 Nov 13.
The patient was a 52-year-old man. A plain chest radiograph showed widening of the superior mediastinum. Three-dimensional computed tomography revealed a thoracic aortic aneurysm involving an incomplete double aortic arch (Stewart's IB type 4) with a patent ductus arteriosus. An aneurysmectomy with replacement of the ascending aorta, aortic arch and the descending aorta and reconstruction of four cervical arteries was performed with extracorporeal circulation and selective cerebral perfusion. To our knowledge, this is the first report to document the surgical repair of a thoracic aortic aneurysm involving a Stewart's IB type 4 double aortic arch in an adult.
患者为一名52岁男性。胸部X线平片显示上纵隔增宽。三维计算机断层扫描显示为一个累及不完全双主动脉弓（Stewart IB型4）且动脉导管未闭的胸主动脉瘤。在体外循环和选择性脑灌注下进行了升主动脉、主动脉弓和降主动脉置换及四条颈动脉重建的动脉瘤切除术。据我们所知，这是首篇记录成人Stewart IB型4双主动脉弓胸主动脉瘤手术修复的报告。
