采用低温停循环并冠状动脉搭桥术进行颈动脉和主动脉弓内膜切除术。

Carotid and aortic arch endarterectomy using hypothermic arrest with coronary bypass.

作者信息

Nishida H, Grooters R K, Yeager A A, Soltanzadeh H, Thieman K C, Schneider R F

机构信息

Department of Surgery, Iowa Methodist Medical Center, Des Moines.

出版信息

Ann Thorac Surg. 1989 Dec;48(6):865-6. doi: 10.1016/0003-4975(89)90690-5.

DOI:10.1016/0003-4975(89)90690-5

PMID:2596926

Abstract

A 67-year-old man with symptomatic bilateral carotid artery obstructions and a large, friable atheromatous plaque of the transverse aortic arch required coronary artery bypass grafting for severe triple-vessel disease. An endarterectomy of the transverse arch and a left carotid endarterectomy were performed using deep hypothermic circulatory arrest concomitant with quadruple coronary artery bypass grafting. Recovery was uneventful. Hypothermic circulatory arrest provides adequate protection for this combined procedure and may eliminate cerebral embolization.

摘要

一名67岁男性，患有症状性双侧颈动脉阻塞以及位于主动脉弓横部的一个大的、易碎的动脉粥样硬化斑块，因严重的三支血管病变需要进行冠状动脉搭桥术。在进行四重冠状动脉搭桥术的同时，采用深低温循环停搏技术实施了主动脉弓横部内膜切除术和左侧颈动脉内膜切除术。术后恢复顺利。低温循环停搏为这一联合手术提供了充分的保护，并且可能消除脑栓塞。