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主动脉弓坏死性感染：利用非常规解剖外旁路移植物重建以重新引导脑血流

Necrotizing Infection of the Aortic Arch: Reconstruction Utilizing Unusual Extra-anatomic Bypass Grafts to Reroute Cerebral Blood Flow.

作者信息

Hemli Jonathan M, Patton Byron D, Scheinerman S Jacob, Brinster Derek R

机构信息

Department of Cardiovascular and Thoracic Surgery, Lenox Hill Hospital/Northwell Health, New York, New York.

出版信息

Aorta (Stamford). 2019 Oct;7(5):137-139. doi: 10.1055/s-0039-3401012. Epub 2020 Feb 4.

DOI:10.1055/s-0039-3401012
PMID:32018309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7000266/
Abstract

Destructive infections of the aortic arch and great vessels are challenging to manage. We describe a novel technique for debranching the right cerebral and upper extremity arteries via composite extra-anatomic bypasses from the femoral artery, with subsequent homograft in-line reconstruction of the arch, in a patient with sepsis and necrosis of the arch and great vessels.

摘要

主动脉弓及大血管的破坏性感染治疗颇具挑战。我们描述了一种新技术，用于一名患有主动脉弓及大血管脓毒症和坏死的患者，通过股动脉的复合解剖外旁路对右侧脑动脉和上肢动脉进行去分支，随后采用同种异体移植物对主动脉弓进行原位重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b0/7000266/e9259028e11c/10-1055-s-0039-3401012-i180025-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b0/7000266/faebb47aa01a/10-1055-s-0039-3401012-i180025-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b0/7000266/e9259028e11c/10-1055-s-0039-3401012-i180025-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b0/7000266/faebb47aa01a/10-1055-s-0039-3401012-i180025-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b0/7000266/e9259028e11c/10-1055-s-0039-3401012-i180025-2.jpg

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Necrotizing Infection of the Aortic Arch: Reconstruction Utilizing Unusual Extra-anatomic Bypass Grafts to Reroute Cerebral Blood Flow.主动脉弓坏死性感染：利用非常规解剖外旁路移植物重建以重新引导脑血流
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本文引用的文献

1
Rethinking the Paradigm: Modern Approach to Proximal Aortic Reconstruction Demonstrates Excellent Outcomes.
Heart Surg Forum. 2017 Jun 20;20(3):E092-E097. doi: 10.1532/hsf.1825.
2
Acute Conditions Caused by Infectious Aortitis.感染性主动脉炎引起的急性病症。
Aorta (Stamford). 2014 Jun 1;2(3):93-9. doi: 10.12945/j.aorta.2014.14-004. eCollection 2014 Jun.
3
Extra-Anatomic Bypass Operation for an Infected Aortic Arch Aneurysm with Broad Mediastinal Abscess: A Case Report.感染性主动脉弓动脉瘤合并广泛纵隔脓肿的解剖外旁路手术：病例报告
Ann Vasc Dis. 2015;8(3):246-8. doi: 10.3400/avd.cr.15-00009. Epub 2015 Jun 17.
4
Strategies to treat thoracic aortitis and infected aortic grafts.治疗胸主动脉炎和感染性主动脉移植物的策略。
J Cardiovasc Surg (Torino). 2015 Apr;56(2):269-80. Epub 2015 Jan 22.
5
In situ total aortic arch replacement for infected distal aortic arch aneurysms with penetrating atherosclerotic ulcer.原位全主动脉弓置换术治疗合并穿透性动脉粥样硬化溃疡的感染性主动脉弓远端动脉瘤。
J Thorac Cardiovasc Surg. 2014 Nov;148(5):2096-100. doi: 10.1016/j.jtcvs.2014.02.015. Epub 2014 Feb 8.
6
Thoracic endovascular aortic repair as emergency therapy despite suspected aortic infection.尽管怀疑存在主动脉感染，仍将胸主动脉腔内修复术作为紧急治疗手段。
Interact Cardiovasc Thorac Surg. 2013 Apr;16(4):459-64. doi: 10.1093/icvts/ivs539. Epub 2013 Jan 3.
7
Novel extra-anatomic intra-abdominal reconstruction for treatment of paravisceral aortic infection.新型非解剖性腹腔内重建术治疗内脏旁主动脉感染。
J Vasc Surg. 2012 Feb;55(2):599-602. doi: 10.1016/j.jvs.2011.09.065. Epub 2011 Dec 15.
8
Surgery for infected aneurysm of the aortic arch.主动脉弓感染性动脉瘤的手术治疗。
J Thorac Cardiovasc Surg. 2007 Nov;134(5):1157-62. doi: 10.1016/j.jtcvs.2007.07.009.