Fujikawa Takuya, Kwok Micky, Ho Jacky, Wong Randolph
Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
Multimed Man Cardiothorac Surg. 2020 Jan 27;2020. doi: 10.1510/mmcts.2020.004.
The Thoraflex hybrid graft has been widely used around the world to allow a single-stage treatment for multi-segment aortic pathologies. The distal stent graft component of the Thoraflex has made it exceptionally easy for endovascular second-stage procedures when compared with the floating elephant trunk. However, published reports on operative techniques for open second-stage procedures after Thoraflex are limited. In this video tutorial we describe our open second-stage after Thoraflex with special focus on the ideal anastomosis technique to achieve good hemostasis and an optimal surgical outcome.
Thoraflex混合移植物已在全球广泛应用，用于对多节段主动脉病变进行单阶段治疗。与浮动象鼻支架相比，Thoraflex的远端支架移植物组件使血管内二期手术变得异常容易。然而，关于Thoraflex术后开放二期手术操作技术的已发表报告有限。在本视频教程中，我们描述了Thoraflex术后的开放二期手术，特别关注理想的吻合技术，以实现良好的止血和最佳的手术效果。
