胸主动脉瘤手术：不要放弃——只管去做。

Orozco-Sevilla Vicente, Etheridge Ginger, Coselli Joseph S

Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.

Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas.

Aorta (Stamford). 2022 Aug;10(4):155-161. doi: 10.1055/s-0042-1750098. Epub 2022 Dec 15.

Surgical aortic repair has progressed from aneurysm ligation to homografts to Dacron grafts to totally endovascular interventions. These fields will continue to evolve, and new endovascular technology will be used in virtually every part of the aorta, eventually dominating this field of surgery. However, as surgeons, we must be cautious and not let go of our open-surgery skills, as they will always be the ultimate bailout solution.

主动脉外科修复技术已从动脉瘤结扎术发展到同种移植术，再到涤纶移植术，直至完全的血管腔内介入治疗。这些领域将持续发展，新的血管腔内技术将应用于主动脉的几乎每个部位，最终主导这一外科领域。然而，作为外科医生，我们必须谨慎，不能放弃开放手术技能，因为它们永远是最终的补救办法。