一种在Ⅱ型胸腹主动脉瘤修复术中预防脊髓缺血的改良技术。
A modified technique for preventing spinal cord ischemia during type II thoracoabdominal aneurysm repair.
作者信息
Her Keun, Choi Changwoo, Lee Jaewook, Shin Hwakyun, Won Yongsoon
机构信息
Department of Thoracic and Cardiovascular Surgery, Soonchunhyang University Bucheon Hospital, Gyeonggi-do, Republic of Korea.
出版信息
Ann Thorac Surg. 2009 Jul;88(1):265-7. doi: 10.1016/j.athoracsur.2008.09.016.
A 51-year-old man required replacement of the thoracoabdominal aorta due to a type II thoracoabdominal aortic aneurysm. We tailored and plicated the aortic aneurysm to make a closed tube. All of the intercostal arteries and lumbar arteries were reimplanted using a closed tube constructed with an aneurysmoplasty to the main aortic graft, using this tube to protect the spinal cord. The closed tube maintained blood flow to the intercostal and lumbar arteries, and no neurologic deficits developed.
一名51岁男性因II型胸腹主动脉瘤需要进行胸腹主动脉置换。我们对主动脉瘤进行剪裁和折叠以制成封闭管。所有肋间动脉和腰动脉均通过使用与主主动脉移植物进行动脉瘤成形术构建的封闭管进行再植入，利用该管保护脊髓。封闭管维持了肋间动脉和腰动脉的血流，且未出现神经功能缺损。
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