Department of Cardiovascular Surgery, Keio University, Shinjuku-ku, Tokyo, Japan.
Ann Thorac Surg. 2011 Dec;92(6):2266-8. doi: 10.1016/j.athoracsur.2011.05.045.
A 49-year-old patient with an anastomotic pseudoaneurysm in the aortic arch was considered at high risk for conventional surgery through a median sternotomy because he had previously undergone several operations to treat aortic dissection and had a deep sternal infection after one procedure. Therefore, a hybrid repair was performed. Stent grafts were placed bridging two previously implanted aortic prostheses, which were in the ascending aorta and descending aorta, respectively. The supra-arch vessels were perfused by means of an extra-anatomic bypass from the descending aorta. The aneurysm was completely excluded from the blood flow, and the patient had no serious complications.
一位 49 岁的患者在前纵隔正中切开术治疗主动脉弓吻合口假性动脉瘤时被认为有较高的手术风险，因为他之前已经接受了几次主动脉夹层手术，并且在一次手术后出现了深部胸骨感染。因此，进行了杂交修复。支架移植物放置在分别位于升主动脉和降主动脉的两个先前植入的主动脉假体之间。通过降主动脉的体外旁路使升主动脉以上的血管得到灌注。动脉瘤完全从血流中被排除，患者没有严重的并发症。
