Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.
Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.
Heart Lung Circ. 2021 Sep;30(9):e95-e97. doi: 10.1016/j.hlc.2021.02.012. Epub 2021 Mar 18.
The frozen elephant trunk technique for various thoracic aortic diseases is widely accepted to facilitate future downstream aortic surgery. However, in some cases, the descending aorta is unsuitable for cross-clamping due to progressive aneurysmal changes or dense adhesions to surrounding structures, and frozen elephant trunk retrieval becomes challenging. This paper presents a case of successful frozen elephant trunk retrieval by partial clamping of the descending aortic aneurysm without dissection of peri-aneurysmal adhesions, and subsequent encircling.
对于各种胸主动脉疾病，冰冻象鼻技术被广泛接受，以方便未来下游的主动脉手术。然而，在某些情况下，由于降主动脉进行性瘤样改变或与周围结构紧密粘连，不适合进行阻断，此时冰冻象鼻的取出变得极具挑战性。本文报告了一例成功的通过部分阻断降主动脉瘤而不切开瘤周粘连的方法取出冰冻象鼻，并随后进行环绕。
