Anderson Mark B, Shah Salil G, Arnold Jennifer L
From the Division of Cardiothoracic Surgery, Einstein Healthcare Network, Philadelphia, PA USA.
Innovations (Phila). 2015 Jan-Feb;10(1):71-2. doi: 10.1097/IMI.0000000000000117.
A 63-year-old man was admitted with chest pain after a previous aortic valve replacement. Computed tomographic scan identified a 7-cm pseudoaneurysm of the ascending aorta, and he was referred for repair. At operation, endoaortic occlusion of the aorta was used to arrest the heart and decompress the aorta to facilitate sternal reentry, dissection, and subsequent control. To our knowledge, this technique has not been reported and represents a useful maneuver in this challenging clinical situation.
一名63岁男性在先前接受主动脉瓣置换术后因胸痛入院。计算机断层扫描发现升主动脉有一个7厘米的假性动脉瘤，遂转诊进行修复。手术中，采用主动脉内阻断来使心脏停搏并使主动脉减压，以利于胸骨再次切开、分离及后续控制。据我们所知，该技术尚未见报道，在这种具有挑战性的临床情况下是一种有用的操作方法。
