Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.
J Vasc Surg. 2018 Aug;68(2):607-610. doi: 10.1016/j.jvs.2018.01.069.
Atherosclerotic innominate artery occlusive disease can lead to cerebral and upper extremity ischemia. Innominate artery angioplasty and stenting can be complicated by stent fractures and restenosis; furthermore, this technique is limited in treatment of innominate artery occlusions. Ministernotomy to the second or third intercostal space can be used instead of conventional full sternotomy for open surgical revascularization of the innominate artery with excellent perioperative and long-term outcomes. This series of three consecutive patients highlights the technique of aorta-innominate artery bypass through ministernotomy.
无名动脉粥样硬化性闭塞性疾病可导致脑和上肢缺血。无名动脉血管成形术和支架置入术可导致支架断裂和再狭窄；此外，该技术在治疗无名动脉闭塞方面存在局限性。第二或第三肋间的小开胸术可代替传统的全胸骨切开术，用于无名动脉的开放性血管重建，具有良好的围手术期和长期效果。这一系列连续的 3 例患者突出了经小开胸术行主动脉-无名动脉旁路术的技术。
