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升主动脉旁路术治疗非典型主动脉缩窄一例报告

[A case report of ascending-abdominal aorta bypass in the treatment of atypical coarctation].

作者信息

Okamoto H, Yasuura K, Moriya H, Matsuura A, Hirose S, Abe T, Ogawa Y, Seki A, Nagao K, Futamura Y

出版信息

Kyobu Geka. 1989 May;42(5):384-7.

PMID:2779036
Abstract

A 45-year-old woman, who had atypical coarctation of the aorta due to aortitis syndrome, underwent ascending-infrarenal abdominal aorta bypass successfully. A woven dacron prosthesis of 14 mm in diameter was anastomosed to the ascending aorta. The course of the graft arranged to pass through a hole cut into the diaphragm across the omental sac behind the pancreas to the infrarenal abdominal aorta. This operation is approached through a midline sternal-splitting and abdominal incision, accordingly pulmonary complication and injury to major collateral vessels associated with lateral thoracotomy can be avoided.

摘要

一名45岁女性,因大动脉炎综合征导致非典型主动脉缩窄,成功接受了升主动脉-肾下腹主动脉旁路移植术。将直径14毫米的编织涤纶人工血管与升主动脉吻合。移植血管的走行是通过在膈肌上切开一个孔,穿过网膜囊,在胰腺后方到达肾下腹主动脉。该手术通过胸骨正中劈开和腹部切口进行,因此可以避免与侧胸壁切开相关的肺部并发症和主要侧支血管损伤。

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