Idhrees Mohammed, Velayudhan Bashi
Institute of Cardiac and Aortic Disorders (ICAD), SRM Institutes for Medical Science (SIMS Hospital), Vadapalani, Chennai, 600026 India.
Indian J Thorac Cardiovasc Surg. 2023 Dec;39(Suppl 2):349-352. doi: 10.1007/s12055-023-01574-9. Epub 2023 Aug 8.
Open aortic arch surgery is still challenging even in the present era with the Achilles' heel being the neurological complication. The variety of approaches and surgical techniques used to reconstruct the aortic arch, protecting the vital organs, the extent of aortic replacement, and the options of reimplanting the supra-aortic arch vessels indicate the challenges involved in the procedure. Though open surgery still remains the 'gold standard', in the last two decades, endo-prostheses and stents have emerged as alternate options.
The online version contains supplementary material available at 10.1007/s12055-023-01574-9.
即使在当今时代,开放性主动脉弓手术仍然具有挑战性,其致命弱点是神经并发症。用于重建主动脉弓、保护重要器官的各种方法和手术技术、主动脉置换的范围以及主动脉弓上血管再植入的选择都表明了该手术所涉及的挑战。尽管开放性手术仍然是“金标准”,但在过去二十年中,腔内假体和支架已成为替代选择。
在线版本包含可在10.1007/s12055-023-01574-9获取的补充材料。