急诊一期杂交手术治疗主动脉弓远端破裂性动脉瘤。
Emergency one-stage hybrid surgery for ruptured aneurysm of the distal aortic arch.
作者信息
Kim Jae Hyun, Yang Jin Sung, Oh Sam Sae, Na Chan-Young
机构信息
Department of Thoracic and Cardiovascular Surgery, Sejong Heart Institute, Sejong General Hospital, Bucheon, Republic of Korea.
出版信息
Tex Heart Inst J. 2013;40(3):343-6.
Abstract
Rupture of an aortic arch aneurysm is a life-threatening condition that requires emergency operation. For rupture of a distal arch aneurysm, we performed--with the patient under total circulatory arrest--an emergency total arch replacement with an elephant-trunk procedure, followed by one-stage antegrade stent-grafting. Prompt institution of cardiopulmonary bypass and total circulatory arrest has the advantage of lessening the risk of overt aortic rupture in this emergency situation.
摘要
主动脉弓动脉瘤破裂是一种危及生命的情况，需要紧急手术。对于远端弓动脉瘤破裂，我们在患者完全循环停搏下进行了紧急全弓置换并采用象鼻手术，随后进行一期顺行支架植入术。在这种紧急情况下，迅速建立体外循环和完全循环停搏具有降低主动脉明显破裂风险的优势。
相似文献
1
Emergency one-stage hybrid surgery for ruptured aneurysm of the distal aortic arch.急诊一期杂交手术治疗主动脉弓远端破裂性动脉瘤。
Tex Heart Inst J. 2013;40(3):343-6.
2
Synchronous hybrid repair for ruptured aneurysm of bovine aortic arch.牛主动脉弓破裂动脉瘤的同期杂交修复术。
Asian Cardiovasc Thorac Ann. 2015 May;23(4):443-5. doi: 10.1177/0218492313513595. Epub 2013 Nov 20.
3
Hybrid arch debranching and endograft repair in a patient with a ruptured thoracic aortic aneurysm.杂交主动脉弓去分支及腔内修复术治疗一例胸主动脉瘤破裂患者
J Card Surg. 2014 Mar;29(2):231-3. doi: 10.1111/jocs.12236.
4
5
Hybrid approach to treat total thoracic aortic aneurysm in a patient undergoing emergency surgery for descending aortic rupture.
Thorac Cardiovasc Surg. 2013 Oct;61(7):594-6. doi: 10.1055/s-0033-1333895. Epub 2013 Apr 12.
6
Combined valve-sparing root replacement and total arch replacement with frozen elephant trunk.联合保留瓣膜的根部置换术及带冰冻象鼻的全主动脉弓置换术。
Interact Cardiovasc Thorac Surg. 2011 Oct;13(4):421-3. doi: 10.1510/icvts.2011.273144. Epub 2011 Jul 7.
7
Repair of Distal Aortic Arch Aneurysms by Left Subclavian Artery Transposition with Stented Elephant Trunk Implantation.采用左锁骨下动脉转位并植入带支架象鼻的方法修复主动脉弓远端动脉瘤
Ann Vasc Surg. 2016 Apr;32:98-103. doi: 10.1016/j.avsg.2015.10.025. Epub 2016 Jan 21.
8
Distal Arch Aneurysm Repair Using Left Subclavian Artery Transposition With Stented Elephant Trunk in the Hybrid Repair Era.杂交修复时代使用带支架象鼻的左锁骨下动脉转位术修复远端主动脉弓动脉瘤
Heart Lung Circ. 2019 May;28(5):814-819. doi: 10.1016/j.hlc.2018.03.014. Epub 2018 Mar 27.
9
Hybrid one-stage repair using a sutureless telescoped stent graft fixation for ruptured multiple thoracic aortic aneurysms.采用无缝合可伸缩支架移植物固定术对多发性胸主动脉瘤破裂进行一期杂交修复。
Ann Thorac Cardiovasc Surg. 2014;20 Suppl:918-21. doi: 10.5761/atcs.cr.13-00220. Epub 2014 Feb 4.
10
Endovascular stenting with open surgery for reconstructions of the ascending aorta and the aortic arch: a review of indications and results of hybrid techniques.
Perspect Vasc Surg Endovasc Ther. 2012 Dec;24(4):184-92. doi: 10.1177/1531003513497984. Epub 2013 Aug 14.
引用本文的文献
1
Intrapericardial rupture of distal aortic arch aneurysm.主动脉弓远端动脉瘤的心包内破裂
J Surg Case Rep. 2019 Dec 5;2019(11):rjz343. doi: 10.1093/jscr/rjz343. eCollection 2019 Nov.
2
Hybrid Repair for Ruptured Thoracic Aortic Aneurysm: Frozen Elephant Trunk Technique with Thoracic Endovascular Aortic Repair.胸主动脉瘤破裂的杂交修复术：带胸主动脉腔内修复术的冰冻象鼻技术
Ann Vasc Dis. 2018 Jun 25;11(2):236-238. doi: 10.3400/avd.cr.18-00014.
本文引用的文献
1
Temporary extra-anatomic brain perfusion followed by total rerouting of the supra-aortic vessels for hybrid repair of a ruptured aortic arch aneurysm.行升主动脉弓部血管旁路转流杂交手术修复破裂主动脉弓动脉瘤术中临时行体额外循环全脑保护
J Vasc Surg. 2011 Oct;54(4):1145-7. doi: 10.1016/j.jvs.2011.03.271. Epub 2011 Jun 12.
2
Elephant trunk procedure 27 years after Borst: what remains and what is new?博斯特术后 27 年的 elephant trunk 手术：有哪些保留和新进展？
Eur J Cardiothorac Surg. 2011 Jul;40(1):1-11. doi: 10.1016/j.ejcts.2011.01.062. Epub 2011 Mar 9.
3
Have hybrid procedures replaced open aortic arch reconstruction in high-risk patients? A comparative study of elective open arch debranching with endovascular stent graft placement and conventional elective open total and distal aortic arch reconstruction.杂交手术是否已取代高危患者的升主动脉弓重建？开放弓去分支术联合血管内支架置入与传统全主动脉弓和远端主动脉弓重建术的择期比较研究。
J Thorac Cardiovasc Surg. 2010 Sep;140(3):590-7. doi: 10.1016/j.jtcvs.2010.02.055.
4
State-of-the-art of hybrid procedures for the aortic arch: a meta-analysis.主动脉弓杂交手术的最新进展：荟萃分析。
Ann Thorac Surg. 2010 Aug;90(2):689-97. doi: 10.1016/j.athoracsur.2009.12.016.
5
Meta-analysis of open versus endovascular repair for ruptured descending thoracic aortic aneurysm.开放与血管内修复治疗破裂性胸降主动脉瘤的荟萃分析。
J Vasc Surg. 2010 Apr;51(4):1026-32, 1032.e1-1032.e2. doi: 10.1016/j.jvs.2009.10.103.
6
Endovascular versus open repair for descending thoracic aortic rupture: institutional experience and meta-analysis.降主动脉破裂的血管腔内修复与开放修复：机构经验及荟萃分析
Eur J Cardiothorac Surg. 2009 Feb;35(2):282-6. doi: 10.1016/j.ejcts.2008.10.042. Epub 2008 Dec 10.
7
Population-based outcomes of open descending thoracic aortic aneurysm repair.基于人群的降胸主动脉瘤开放修复术的结局
J Vasc Surg. 2008 Oct;48(4):821-7. doi: 10.1016/j.jvs.2008.05.022. Epub 2008 Jun 30.
8
Ruptured aortic arch aneurysm: transposition of aortic arch branches after insertion of thoracic endovascular stent with extra-anatomic brain perfusion.主动脉弓动脉瘤破裂：在置入带解剖外脑灌注的胸段血管内支架后主动脉弓分支转位
Interact Cardiovasc Thorac Surg. 2007 Jun;6(3):376-8. doi: 10.1510/icvts.2006.149260. Epub 2007 Feb 23.
Zotero 插件