Shigematsu H, Shigematsu K, Kitayama J, Yuki H, Okumura M, Hyakuna Y, Morioka Y
First Department of Surgery, Faculty of Medicine, University of Tokyo, Japan.
Nihon Geka Gakkai Zasshi. 1990 Oct;91(10):1644-7.
Thoracoabdominal aortic aneurysmectomy with a temporary bypass from left axillary to right common iliac artery was successfully performed in a 57 year-old-female with an aneurysm involving celiac, superior mesenteric and renal arteries. An elevation of serum amylase level with a peak value on 7 POD was observed and ultrasonography revealed acute pancreatitis resulting from seventy minutes ischemia of celiac artery during the procedure. The patient was treated conservatively and discharged. It seems to be important to prevent pancreatic ischemia in thoracoabdominal aortic aneurysmectomy as well as to maintain renal and hepatic circulation.
对一名57岁患有累及腹腔干、肠系膜上动脉和肾动脉的动脉瘤的女性患者成功实施了胸腹主动脉瘤切除术,并进行了从左腋动脉到右髂总动脉的临时搭桥。观察到血清淀粉酶水平升高,在术后第7天达到峰值,超声检查显示该过程中腹腔干动脉70分钟的缺血导致了急性胰腺炎。患者接受保守治疗后出院。在胸腹主动脉瘤切除术中预防胰腺缺血以及维持肾和肝循环似乎很重要。