Department of General & Cardiothoracic Surgery, Kanazawa University, Kanazawa, Japan.
Ann Thorac Surg. 2010 Nov;90(5):1721-3. doi: 10.1016/j.athoracsur.2009.12.029.
We have devised a T-graft technique for selected extensive aortic arch replacement under antegrade cerebral perfusion. Under hypothermic circulatory arrest using antegrade cerebral perfusion, one graft was island-anastomosed to the supraaortic arteries. The other graft was anastomosed to the descending aorta. Proximal and distal grafts were then end-to-side anastomosed in a T-shape. During rewarming, the ascending aorta and proximal graft were anastomosed. The surgical field was good in the 6 patients included in this report. No perioperative deaths or serious complications were encountered. This procedure was effective for patients with extensive aortic arch aneurysm and relatively intact orifices of the supraaortic arteries.
我们设计了一种在顺行性脑灌注下用于选择性广泛主动脉弓置换的 T 型移植物技术。在使用顺行性脑灌注的低温循环停止期间，一个移植物与主动脉弓上动脉进行岛状吻合。另一个移植物与降主动脉吻合。然后，近端和远端移植物以 T 形端侧吻合。在复温期间，将升主动脉和近端移植物吻合。本报告纳入的 6 例患者手术视野良好。无围手术期死亡或严重并发症发生。该手术对于广泛的主动脉弓动脉瘤和相对完整的主动脉弓上开口的患者是有效的。
