左侧下腔静脉对胸腹主动脉瘤开放修复术中体外循环插管的影响。
Left-sided inferior vena cava implications for cardiopulmonary bypass cannulation in open thoracoabdominal aortic aneurysm repair.
作者信息
Schoephoerster Carl T, Rajaei Mohammad H, Gonzalez Laura S, Brown Kellie R, Mitchell Michael E, Rossi Peter J
机构信息
Division of Vascular and Endovascular Surgery, Medical College of Wisconsin, Milwaukee, WI.
Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, WI.
出版信息
J Vasc Surg Cases Innov Tech. 2023 Mar 29;9(2):101166. doi: 10.1016/j.jvscit.2023.101166. eCollection 2023 Jun.
A left-sided inferior vena cava poses a unique challenge when cannulating for cardiopulmonary bypass during thoracoabdominal aortic aneurysm repair, and how to effectively and safely do so has not been previously described. A 51-year-old woman with a history of Loeys-Dietz syndrome and a left-sided inferior vena cava underwent open Crawford extent II thoracoabdominal aortic aneurysm repair. Cardiopulmonary bypass cannulation was performed using the right axillary artery, left common femoral artery, and right internal jugular vein. The patient's repair was successful, and she was ultimately discharged back to her home.
在胸腹主动脉瘤修复过程中进行体外循环插管时，左侧下腔静脉带来了独特的挑战，此前尚未描述过如何有效且安全地进行插管。一名有洛伊迪茨综合征病史且存在左侧下腔静脉的51岁女性接受了开放性克劳福德II型胸腹主动脉瘤修复术。体外循环插管采用右腋动脉、左股总动脉和右颈内静脉进行。患者的修复手术成功，最终出院回家。
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