在主髂动脉闭塞情况下修复Ⅲ型胸腹主动脉瘤
Repair of Extent III Thoracoabdominal Aneurysm in the Presence of Aortoiliac Occlusion.
作者信息
Shah Vishal N, Uribe Alexander, Plestis Konstadinos A
机构信息
LANKENAU MEDICAL CENTER, WYNNEWOOD, PENNSYLVANIA.
出版信息
Methodist Debakey Cardiovasc J. 2020 Jan-Mar;16(1):57-60. doi: 10.14797/mdcj-16-1-57.
Abstract
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.
摘要
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。
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本文引用的文献
1
Use of extracorporeal bypass is associated with improved outcomes in open thoracic and thoracoabdominal aortic aneurysm repair.体外循环的使用与开放式胸主动脉瘤和胸腹主动脉瘤修复术的改善结果相关。
J Vasc Surg. 2018 Oct;68(4):941-947. doi: 10.1016/j.jvs.2017.12.072. Epub 2018 Mar 31.
2
Successful surgical treatment for thoracoabdominal aortic aneurysm with leriche syndrome.胸腹主动脉瘤合并勒里什综合征的成功外科治疗。
Korean J Thorac Cardiovasc Surg. 2015 Apr;48(2):134-8. doi: 10.5090/kjtcs.2015.48.2.134. Epub 2015 Apr 5.
3
Thoracoabdominal aortic aneurysm repair using hypothermic cardiopulmonary bypass and circulatory arrest.采用低温体外循环和循环停止技术修复胸腹主动脉瘤。
Ann Cardiothorac Surg. 2012 Sep;1(3):409-11. doi: 10.3978/j.issn.2225-319X.2012.08.09.
4
The collateral network concept: a reassessment of the anatomy of spinal cord perfusion.侧支网络概念：对脊髓灌注解剖结构的再评估。
J Thorac Cardiovasc Surg. 2011 Apr;141(4):1020-8. doi: 10.1016/j.jtcvs.2010.06.023.
5
Screening for thoracoabdominal aortic aneurysms in patients with aortoiliac atherosclerosis: a preliminary study.腹主动脉粥样硬化患者胸主动脉瘤和腹主动脉瘤的筛查：一项初步研究。
Folia Morphol (Warsz). 2008 Feb;67(1):78-83.
6
Aortic arch replacement using a trifurcated graft: simple, versatile, and safe.使用分叉移植物进行主动脉弓置换：简单、通用且安全。
Ann Thorac Surg. 2005 Jul;80(1):90-5; discussion 95. doi: 10.1016/j.athoracsur.2005.02.002.
7
Thoracic aortic aneurysms: a population-based study.胸主动脉瘤：一项基于人群的研究。
Surgery. 1982 Dec;92(6):1103-8.
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