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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.

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.

PMID:23914036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3709232/
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。