Jacobs Michael J
Department of Surgery, Maastricht University Medical Center, Maastricht 6202 AZ, The Netherlands.
Tex Heart Inst J. 2010;37(6):667-8.
In our experience, single-stage open repair of descending thoracic or thoracoabdominal aortic aneurysms with concurrent aortic arch disease is technically feasible via a high left thoracotomy or a thoracolaparotomy. Distal aortic and antegrade brain perfusion, in combination with brain and spinal cord protection, seems to contribute to adequate surgical and neurological outcome.
根据我们的经验,经左胸高位切口或胸腹联合切口对合并主动脉弓疾病的降胸段或胸腹段主动脉瘤进行一期开放修复在技术上是可行的。远端主动脉和顺行性脑灌注,结合脑和脊髓保护,似乎有助于获得良好的手术和神经学结果。