主动脉弓手术中结扎左无名静脉始终安全吗？一例报告。

Is Left Innominate Vein Ligation during Aortic Arch Surgery Always Safe? A Case Report.

作者信息

Schizas Nikolaos, Patris Vasilios, Samiotis Ilias, Nikoli Eleni, Lama Niki, Argiriou Michail

机构信息

Department of Cardio Thoracic and Vascular Surgery, Evangelismos General Hospital of Athens, Athens, Greece.

Department of Anesthesiology, Evangelismos General Hospital of Athens, Athens, Greece.

出版信息

J Tehran Heart Cent. 2022 Jan;17(1):26-28. doi: 10.18502/jthc.v17i1.9322.

DOI:10.18502/jthc.v17i1.9322

PMID:36304763

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9551258/

Abstract

Ligation of the left innominate vein (LIV) expands the surgeon's surgical field for ascending aorta and aortic arch procedures. Although it is considered a safe technique by most surgeons in that it is associated with only minor drawbacks, conflicting views exist regarding this method. We herein describe a 70-year-old woman who underwent ascending aorta replacement due to an aneurysm with subsequent cerebral dysfunction caused by extended brain edema, possibly related to LIV ligation, leading to her death.

摘要

结扎左无名静脉（LIV）可扩大外科医生在升主动脉和主动脉弓手术中的手术视野。尽管大多数外科医生认为这是一种安全的技术，因为它仅伴有轻微的缺点，但对于这种方法仍存在不同观点。我们在此描述一名70岁女性，她因动脉瘤接受了升主动脉置换术，随后因脑水肿扩大导致脑功能障碍，这可能与结扎LIV有关，最终导致死亡。