Tochii Masato, Ando Motomi, Takagi Yasushi, Yamashita Mitsuru, Hoshino Ryo, Akita Kiyotoshi
Department of Cardiovascular Surgery, Fujita Health University, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi, 470-1192, Japan.
Gen Thorac Cardiovasc Surg. 2008 Dec;56(12):589-91. doi: 10.1007/s11748-008-0304-1. Epub 2008 Dec 16.
A 73-year-old man presented with DeBakey type IIIa chronic aortic dissection. The aneurysm of the descending aorta was replaced using an open proximal technique with hypothermic circulatory arrest. For cerebrospinal protection, the left axillary artery was cannulated, which perfuses the vertebral artery and affects the Willis arterial circle, the anterior spinal artery, and the collateral blood supply to the spinal cord. Cannulation of the left axillary artery was a safe and effective surgical option for antegrade cerebral perfusion and spinal protection.
一名73岁男性患者被诊断为DeBakey IIIa型慢性主动脉夹层。采用开放近端技术并在低温循环停止的情况下替换降主动脉瘤。为保护脑脊髓，将左腋动脉插管，其可灌注椎动脉并影响Willis动脉环、脊髓前动脉以及脊髓的侧支血供。左腋动脉插管是顺行性脑灌注和脊髓保护的一种安全有效的手术选择。
