Kitahara Mutsunori, Ohata Toshihiro, Yamada Yu, Yamana Fumio, Nakahira Shin
Department of Cardiovascular Surgery, Sakai City Medical Center, Osaka, Japan.
Department of Surgery, Sakai City Medical Center, Osaka, Japan.
J Vasc Surg Cases Innov Tech. 2019 Jan 12;5(1):35-37. doi: 10.1016/j.jvscit.2018.07.008. eCollection 2019 Mar.
Endovascular repair is often difficult in the case of a huge abdominal aortic aneurysm for anatomic reasons. Here, we describe open repair of a huge infrarenal abdominal aortic aneurysm. Open repair was performed through laparotomy with the Cattell-Braasch maneuver, a technique for right-sided medial visceral rotation. Laparotomy with the Cattell-Braasch maneuver is simple and effective in open repair of a huge abdominal aortic aneurysm extending into the right common iliac artery, for which proximal clamping is difficult because of a tortuous proximal neck just below the hepatic region.
由于解剖学原因，对于巨大腹主动脉瘤，血管内修复往往很困难。在此，我们描述一例巨大肾下腹主动脉瘤的开放修复手术。开放修复通过采用卡特-布拉斯奇手法的剖腹术进行，这是一种右侧内脏向内侧旋转的技术。对于延伸至右髂总动脉的巨大腹主动脉瘤，采用卡特-布拉斯奇手法的剖腹术在开放修复中操作简单且有效，因为在肝区下方近端颈部迂曲，近端钳夹困难。
