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中度低温下升主动脉假性动脉瘤手术

Surgery for pseudoaneurysm of the ascending aorta under moderate hypothermia.

作者信息

Jung Tae-Eun, Lee Dong-Hyup

机构信息

Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University, Daegu, Korea.

出版信息

J Cardiothorac Surg. 2011 Sep 30;6:125. doi: 10.1186/1749-8090-6-125.

Abstract

Pseudoaneurysm of the ascending aorta is a rare complication after cardiac surgery. Particularly, pseudoaneurysm due to postoperative infection in the ascending aorta requires surgical treatment with antibiotics. If a large sized pseudoaneurysm is located at the retrosternal space, then there is a very high risk of massive bleeding from rupture during performance of resternotomy. To avoid this risk, we performed femoro-femoral bypass under moderate hypothermia with transient circulatory arrest, and we report here on the successful result of this case.

摘要

升主动脉假性动脉瘤是心脏手术后一种罕见的并发症。特别是,升主动脉术后感染所致的假性动脉瘤需要使用抗生素进行手术治疗。如果一个大型假性动脉瘤位于胸骨后间隙,那么在再次开胸手术过程中存在很高的破裂大出血风险。为避免这种风险,我们在中度低温和短暂循环骤停下进行了股-股旁路转流术,在此报告该病例的成功结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae0a/3191372/c45a54633f4a/1749-8090-6-125-1.jpg

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