半胸骨切开术用于主动脉弓动脉瘤的微创开放支架植入术。
Mini open stent grafting with half sternotomy for aortic arch aneurysm.
作者信息
Takano Tamaki, Sakaguchi Masayuki, Terasaki Takamitsu, Fujii Taishi, Date Yusuke, Fuke Mugumi, Machida Kai
机构信息
Department of Cardiovascular Surgery, Nagano Red-Cross Hospital, 5-22-1 Wakasato, Nagano, 3808582, Japan.
出版信息
J Cardiothorac Surg. 2019 Jun 6;14(1):101. doi: 10.1186/s13019-019-0923-x.
BACKGROUND
Open stent grafting is an alternative of graft replacement and thoracic endovascular aortic repair for aortic arch aneurysm. We have performed open stent grafting with half sternotomy (mini-OSG) to reduce in-hospital stay and recovery time of patients and herein report seven cases of mini-OSG for aortic aneurysm and dissection.
CASE PRESENTATION
The patients' mean age was 66 years. Cardiopulmonary bypass was performed conventionally, and an open stent graft was inserted via an aortotomy on the aortic arch during circulatory arrest. No mortality occurred. The mean operation time was 387 min, and the mean blood loss was 587 ml. The patients were weaned from the ventilator 7.1 h postoperatively. No pseudoaneurysm or endoleakage was observed during the 2- to 20-month follow-up.
CONCLUSIONS
Mini-OSG might be less invasive, although further studies and intensive follow-up are needed.
背景
对于主动脉弓动脉瘤，开放支架植入术是移植物置换和胸主动脉腔内修复术之外的另一种选择。我们已采用半胸骨切开术进行开放支架植入术（迷你开放支架植入术），以缩短患者住院时间和恢复时间，在此报告7例采用迷你开放支架植入术治疗主动脉瘤和主动脉夹层的病例。
病例介绍
患者平均年龄66岁。常规进行体外循环，在循环停止期间通过主动脉弓上的主动脉切口插入开放支架移植物。无死亡病例发生。平均手术时间为387分钟，平均失血量为587毫升。患者术后7.1小时脱机。在2至20个月的随访期间未观察到假性动脉瘤或内漏。
结论
迷你开放支架植入术可能侵入性较小，不过仍需要进一步研究和密切随访。
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