Chen I-Ming, Chen Po-Lin, Chang Hsiao-Huang
Division of Cardiovascular Surgery, Department of Surgery, Taipei Veterans General Hospital, Taiwan.
Department of Medicine, School of Medicine, National Yang-Ming University, Taiwan.
Thorac Cardiovasc Surg. 2018 Apr;66(3):273-276. doi: 10.1055/s-0036-1597593. Epub 2017 Jan 3.
The proper proximal landing zone is a key element for success of endografting in thoracic aortic pathology. If coverage of innominate artery is unavoidable for safe proximal landing, arch debranching surgery is necessary to recruit supra-aortic blood flow before endografting. However, calcified or adhesive ascending aorta makes it difficult to clamp ascending aorta for anastomosis in the first step of arch debranching surgery. We present a novel "no clamp complete parachute technique" to complete this challenging anastomosis.
合适的近端锚定区是胸主动脉病变腔内修复成功的关键因素。如果为了安全的近端锚定而不可避免地要覆盖无名动脉，那么在腔内修复前进行主动脉弓去分支手术以恢复主动脉弓上血流是必要的。然而，钙化或粘连的升主动脉使得在主动脉弓去分支手术的第一步中难以夹闭升主动脉以进行吻合。我们提出一种新颖的“无夹闭完全降落伞技术”来完成这一具有挑战性的吻合。
