Koh Teng Kiat, Ting Jocelyn Zi Lin, Wee Bernard, Khamitov Rustem, Teoh Kristine, Wong Julian, Sorokin Vitaly A
1 Department of Surgery, Yong Loo Lin School of Medicine, 37580 National University of Singapore, Singapore.
2 Department of Cardiac, Thoracic and Vascular Surgery, 63751 National University Hospital , National University Health System, Singapore.
Asian Cardiovasc Thorac Ann. 2018 Feb;26(2):148-150. doi: 10.1177/0218492318755181. Epub 2018 Jan 16.
A 65-year-old gentleman with claudication underwent contrast-enhanced computed tomography. The scan showed occlusion of the infrarenal abdominal aorta and a 6.0 × 3.7 cm saccular zone-3 arch aneurysm. The left ventricular ejection fraction was 35% and a coronary angiogram revealed triple-vessel disease. In view of the patient's high risk with EuroSCORE II 20.34%, coronary artery surgery was combined with hybrid type I arch aneurysm repair. An endovascular stent was delivered in an antegrade manner. Open heart surgery and a hybrid type I arch intervention can be performed simultaneously through a midline sternotomy approach.
一位患有间歇性跛行的65岁男性接受了增强计算机断层扫描。扫描显示肾下腹主动脉闭塞，并有一个6.0×3.7厘米的囊状3区主动脉弓动脉瘤。左心室射血分数为35%，冠状动脉造影显示三支血管病变。鉴于患者欧洲心脏手术风险评估系统（EuroSCORE）II评分为20.34%，属于高风险，因此将冠状动脉手术与I型主动脉弓动脉瘤杂交修复术相结合。通过顺行方式植入血管内支架。可通过正中胸骨切开术同时进行心脏直视手术和I型主动脉弓杂交介入治疗。
