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经胸骨切开术一期开放修复广泛性主动脉弓和降主动脉瘤：病例报告

Single-Stage Open Repair of Extensive Arch and Descending Thoracic Aneurysm through Sternotomy: A Case Report.

作者信息

Kim Joon Young, Kim Hong Rae, Kim Joon Bum

机构信息

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, Ulsan University College of Medicine, Seoul, Korea.

出版信息

J Chest Surg. 2021 Dec 5;54(6):509-512. doi: 10.5090/jcs.20.148.

DOI:10.5090/jcs.20.148
PMID:33824231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8646074/
Abstract

Extensive thoracic aortic disease involving the ascending aorta, the aortic arch, and the descending thoracic aorta may require multiple surgical and interventional managements, which impose a burden in terms of cumulative surgical trauma and the risk of interval mortality. Herein, we describe a single-stage arch and descending thoracic aorta replacement via sternotomy in a patient with multiple comorbidities presenting with an extensive thoracic aortic aneurysm.

摘要

累及升主动脉、主动脉弓和降主动脉的广泛胸主动脉疾病可能需要多种手术和介入治疗，这在累积手术创伤和围手术期死亡风险方面带来了负担。在此，我们描述了一例通过胸骨切开术进行一期主动脉弓和降主动脉置换的病例，该患者患有多种合并症，表现为广泛的胸主动脉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/d4a090b625c7/jcs-54-6-509-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/39d25aeb462e/jcs-54-6-509-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/dd620f86cd0f/jcs-54-6-509-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/5bcc3ef5a1a9/jcs-54-6-509-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/d4a090b625c7/jcs-54-6-509-f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/39d25aeb462e/jcs-54-6-509-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/dd620f86cd0f/jcs-54-6-509-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/5bcc3ef5a1a9/jcs-54-6-509-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d16f/8646074/d4a090b625c7/jcs-54-6-509-f4.jpg

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Single-Stage Open Repair of Extensive Arch and Descending Thoracic Aneurysm through Sternotomy: A Case Report.经胸骨切开术一期开放修复广泛性主动脉弓和降主动脉瘤：病例报告
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本文引用的文献

1
Safety and pitfalls in frozen elephant trunk implantation.冷冻象鼻植入的安全性和陷阱。
Ann Cardiothorac Surg. 2013 Sep;2(5):669-76. doi: 10.3978/j.issn.2225-319X.2013.09.16.
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Modern temperature management in aortic arch surgery: the dilemma of moderate hypothermia.主动脉弓手术中的现代体温管理：中度低温的困境。
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The "first generation" of endovascular stent-grafts for patients with aneurysms of the descending thoracic aorta.
用于降主动脉瘤患者的“第一代”血管内支架型人工血管。
J Thorac Cardiovasc Surg. 1998 Nov;116(5):689-703; discussion 703-4. doi: 10.1016/S0022-5223(98)00455-3.
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Advances in aortic arch surgery.主动脉弓手术的进展。
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Rationale and technique for replacement of the ascending aorta, arch, and distal aorta using a modified elephant trunk procedure.
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