Myhre H O, Rein K A, Levang O W, Stenseth R, Christensen O
Scand J Thorac Cardiovasc Surg. 1987;21(2):119-21. doi: 10.3109/14017438709106507.
Six patients were operated on for aneurysm of the descending thoracic aorta in 1983-1985 by use of simple cross-clamping and interposition of a Dacron tube graft without extracorporeal circulation. The aneurysm had ruptured in three cases. The patients' mean age was 69 years. Anesthesia and muscle relaxation were obtained by drugs with only minor myocardial depressant action. There was no postoperative mortality or morbidity. Five of the patients have been followed up for at least a year. Careful pharmacologic control of the blood pressure is essential during such surgery. Despite the smallness of the series, it indicates that simple cross-clamping and Dacron graft interposition can be used for treatment of aneurysm of the descending thoracic aorta.
1983年至1985年期间,6例患者接受了胸降主动脉瘤手术,采用单纯交叉钳夹法并植入涤纶人工血管,未使用体外循环。其中3例动脉瘤已破裂。患者平均年龄为69岁。通过使用具有轻微心肌抑制作用的药物实现麻醉和肌肉松弛。术后无死亡或并发症发生。5例患者已随访至少一年。在此类手术期间,对血压进行仔细的药物控制至关重要。尽管病例数较少,但这表明单纯交叉钳夹法和涤纶人工血管植入可用于治疗胸降主动脉瘤。