采用胸骨上段小切口的杂交主动脉弓修复术。
Hybrid Aortic Arch Repair Using a Ministernotomy.
作者信息
Shah Vishal N, Orlov Oleg I, Meisner Robert J, Plestis Konstadinos A
机构信息
Department of Cardiothoracic Surgery, Lankenau Medical Center, Wynnewood, PA, USA.
Division of Vascular Surgery, Lankenau Medical Center, Wynnewood, PA, USA.
出版信息
Vasc Endovascular Surg. 2020 Feb;54(2):162-164. doi: 10.1177/1538574419887600. Epub 2019 Nov 10.
Hybrid thoracic endovascular aortic repair with surgical arch debranching is an accepted method for total arch reconstruction. Although off-pump arch debranching is increasingly used as a prophylactic adjunct to endovascular arch repair extending into landing zone 0, this technique is seldom performed with a ministernotomy due to a steep learning curve among surgeons. Herein, we report our standard technique for off-pump hybrid total aortic arch repair using a ministernotomy.
杂交胸主动脉腔内修复术联合外科弓部去分支术是全弓重建的一种公认方法。尽管非体外循环弓部去分支术越来越多地被用作延伸至0区着陆区的血管腔内弓部修复术的预防性辅助手段，但由于外科医生的学习曲线较陡，这种技术很少通过微创胸骨切开术来实施。在此，我们报告我们使用微创胸骨切开术进行非体外循环杂交全主动脉弓修复术的标准技术。
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