扩大胸主动脉修复的新方法：前外侧开胸术联合部分胸骨切开术。
New approach for extended thoracic aortic repair: anterolateral thoracotomy with partial sternotomy.
作者信息
Uchida Naomichi, Katayama Akira, Tamura Kentaro, Sutoh Miwa, Kuraoka Masatsugu, Sueda Taijiro
机构信息
Department of Surgery, Hiroshima University, Hiroshima, Hiroshima, Japan.
出版信息
Ann Thorac Cardiovasc Surg. 2012;18(4):395-9. doi: 10.5761/atcs.nm.11.01744. Epub 2012 Feb 15.
PURPOSE
We have introduced a new surgical approach for extended thoracic aortic repair, anterolateral thoracotomy with partial sternotomy (ALPS).
DESCRIPTION
The surgical approach to the chest was made via left anterolateral thoracotomy and lower median sternotomy through the third or fourth intercostal space. All cannulations (arterial, venous, venting, and cardioplegia) could be easily performed using a retractor in this approach.
EVALUATION
From November 2005 to December 2010, we performed surgical treatment in 12 patients by employing the ALPS approach for a complex, extended thoracic aortic diseases with different pathologies, i.e., arteriosclerotic aneurysms in 5, acute type B dissection in 5, and chronic type B dissection in 2 patients. One patient died in the hospital, and 1 had temporary spinal cord injury.
CONCLUSION
The ALPS approach might become an alternative for a complex, extended thoracic aortic replacement.
目的
我们引入了一种用于扩大胸主动脉修复的新手术方法，即经部分胸骨切开的左前外侧开胸术（ALPS）。
描述
通过左前外侧开胸术和经第三或第四肋间间隙的低位正中胸骨切开术进入胸腔。使用牵开器，在此手术方法中所有插管（动脉、静脉、排气和心脏停搏液）都能轻松完成。
评估
从2005年11月至2010年12月，我们采用ALPS手术方法对12例患有不同病理类型的复杂、扩大胸主动脉疾病的患者进行了手术治疗，即5例为动脉硬化性动脉瘤，5例为急性B型主动脉夹层，2例为慢性B型主动脉夹层。1例患者在医院死亡，1例有暂时性脊髓损伤。
结论
ALPS手术方法可能成为复杂、扩大胸主动脉置换术的一种替代方法。
Zotero 插件