Shah Vishal N, Uribe Alexander, Plestis Konstadinos A
LANKENAU MEDICAL CENTER, WYNNEWOOD, PENNSYLVANIA.
Methodist Debakey Cardiovasc J. 2020 Jan-Mar;16(1):57-60. doi: 10.14797/mdcj-16-1-57.
Concomitant thoracoabdominal aneurysm and aortoiliac occlusion are extremely rare and present a unique surgical challenge. We report the successful reconstruction of a 9.2-cm extent III thoracoabdominal aneurysm and aortoiliac occlusion in a 54-year-old male. The surgery was performed using a trifurcated graft and total cardiopulmonary bypass. The combination of cerebrospinal fluid drainage, cold renovisceral perfusion, and reattachment of large segmental arteries resulted in a successful outcome in this rare presentation.
同时存在胸腹主动脉瘤和主髂动脉闭塞极为罕见，且带来独特的手术挑战。我们报告了一例成功为一名54岁男性重建9.2厘米的Ⅲ型胸腹主动脉瘤并治疗主髂动脉闭塞的病例。手术采用分叉型移植物并进行全体外循环。脑脊液引流、低温肾内脏灌注以及大段动脉重新附着相结合，使得这一罕见病例获得成功治疗。
