Department of Cardiovascular Surgery, IMS Tokyo Katsushika General Hospital, Tokyo, Japan.
Department of Cardiovascular Surgery, Seiyu Memorial Hospital, Wakayama, Japan.
Eur J Cardiothorac Surg. 2019 Nov 1;56(5):1018-1020. doi: 10.1093/ejcts/ezz127.
Patients with severely calcified aorta are at high risk of embolic stroke during surgery and it is not feasible to clamp the aorta, necessitating alternative surgical strategies. We present a clampless anastomosis technique using the aortic cannula mounted by a prosthetic graft for a severely calcified aorta in a patient with subclavian-vertebral artery steal syndrome.
严重钙化主动脉的患者在手术中存在栓塞性中风的高风险,且夹闭主动脉不可行,因此需要替代的手术策略。我们介绍了一种在锁骨下动脉窃血综合征患者中使用带有假体移植物的主动脉插管进行无夹闭吻合的技术,该患者的主动脉严重钙化。