Libin Cardiovascular Institute of Alberta, Division of Cardiac Surgery, Department of Diagnostic Imaging, University of Calgary, Calgary, Alberta, Canada.
Ann Thorac Surg. 2012 Sep;94(3):e59-61. doi: 10.1016/j.athoracsur.2012.02.080.
Complications may arise from the residual dissected arch and descending thoracic aorta after conventional ascending and hemiarch repair of acute DeBakey type I aortic dissection. To mitigate these complications, a total arch and elephant trunk procedure has been advocated. This case demonstrates a less invasive hybrid technique, performed in a single-stage fashion through a sternotomy without circulatory arrest or deep hypothermia, to achieve the benefits of the total arch and elephant trunk operation.
在常规的升主动脉和半弓修复急性 DeBakey Ⅰ型主动脉夹层后，残留的解剖弓和降主动脉可能会出现并发症。为了减轻这些并发症，提倡进行全主动脉弓和象鼻手术。本病例展示了一种微创的杂交技术，通过胸骨切开术在无需体外循环或深低温的情况下一期完成，从而实现全主动脉弓和象鼻手术的优势。
