Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York 10029, USA.
Semin Thorac Cardiovasc Surg. 2012 Summer;24(2):127-30. doi: 10.1053/j.semtcvs.2011.12.006.
The technical aspects of arch surgery have evolved considerably during the last 2 decades. The use of deep hypothermic circulatory arrest has been embraced by many cardiac surgeons to approach aortic arch aneurysms around the world. The branched graft technique that we have been using since the late 1990s has improved surgical outcomes and simplified the treatment considerably. We describe our technique of total arch replacement by using deep hypothermia and selective cerebral perfusion in aortic arch surgery.
在过去的 20 年中，拱术的技术方面有了很大的发展。许多心脏外科医生都采用深低温循环停止来接近世界各地的主动脉弓动脉瘤。自 20 世纪 90 年代末以来，我们一直在使用的分支移植物技术改善了手术结果，并大大简化了治疗。我们描述了在主动脉弓手术中使用深低温和选择性脑灌注进行全弓置换的技术。
