Greig U Douglas, Zalaquett S Ricardo, Carvajal F Claudia
Departamento de Enfermedades Cardiovasculares, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago de Chile.
Rev Med Chil. 2009 Oct;137(10):1346-50.
The aortic arch aneurysm is a complex disease with a growing incidence in our population. We report a 64 year-old female with an atherosclerotic aortic arch aneurysm with a maximum diameter of 9.4 cm and evidence of contained rupture. We performed a complete aortic arch replacement in a single period of 100 minutes of circulatory arrest with deep hypothermia and brain protection with anterograde cerebral perfusion through the right axillary artery. The patient had a complete recovery without evidence of neurological damage and was extubated on the next morning. One year later, the patient is asymptomatic and the peri-aortic haematoma was completely reabsorbed.
主动脉弓动脉瘤是一种复杂疾病，在我国人群中的发病率呈上升趋势。我们报告了一名64岁女性，患有动脉粥样硬化性主动脉弓动脉瘤，最大直径为9.4 cm，并有局限性破裂的证据。我们在100分钟的循环停止、深度低温以及通过右腋动脉进行顺行性脑灌注脑保护的单一阶段内完成了全主动脉弓置换术。患者完全康复，无神经损伤迹象，于次日早晨拔管。一年后，患者无症状，主动脉周围血肿完全吸收。
