微创分支优先全主动脉弓置换术及“象鼻”支架术
Mini-access branch-first total arch replacement and frozen elephant trunk procedure.
作者信息
Chakos Adam, Yan Tristan D
机构信息
Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, The University of Sydney, Sydney, NSW, Australia.
Department of Clinical Medicine, Macquarie University, Sydney, NSW, Australia.
出版信息
Ann Cardiothorac Surg. 2020 May;9(3):236-243. doi: 10.21037/acs-2020-fet-27.
Abstract
Minimally-invasive surgery presents its own unique set of challenges, especially when applied to treatment of aortic arch disease. The key components of mini-access aortic arch surgery include safe circulatory control, adequate organ protection, and meticulous surgical technique. This article describes how to perform branch-first total arch replacement with the frozen elephant trunk (FET) procedure for distal arch aneurysms. The strategy employed offers the advantages of mini-access surgery, as well as sound cerebral and systemic organ protection strategies.
摘要
微创手术有其自身独特的一系列挑战，尤其是应用于主动脉弓疾病的治疗时。微创主动脉弓手术的关键要素包括安全的循环控制、充分的器官保护以及细致的手术技巧。本文描述了如何采用带冰冻象鼻（FET）手术对远端主动脉弓动脉瘤进行分支优先全弓置换。所采用的策略具有微创手术的优势以及完善的脑和全身器官保护策略。
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Ann Cardiothorac Surg. 2018 May;7(3):351-356. doi: 10.21037/acs.2018.05.08.
2
Surgical management of acute type A aortic dissection: branch-first arch replacement with total aortic repair.急性A型主动脉夹层的外科治疗：先行分支血管置换的全主动脉弓置换术。
Ann Cardiothorac Surg. 2016 May;5(3):236-44. doi: 10.21037/acs.2016.05.11.
3
"Branch-first" continuous perfusion aortic arch replacement and its role in intra-operative cerebral protection.“分支优先”连续灌注主动脉弓置换术及其在术中脑保护中的作用。
Ann Cardiothorac Surg. 2013 Mar;2(2):194-201. doi: 10.3978/j.issn.2225-319X.2013.02.01.
4
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J Vasc Surg. 2010 Apr;51(4):836-41. doi: 10.1016/j.jvs.2009.09.054.
5
Evolution of aortic arch repair.主动脉弓修复的进展
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