Coselli J S, Crawford E S
J Thorac Cardiovasc Surg. 1986 Feb;91(2):184-7.
The best management for patients requiring cardiac procedures with superimposed severe intimal atheromatous disease or medial calcification of the ascending aorta and transverse arch has yet to be established. Clamping such an aorta can produce embolization, dissection, mural laceration, and hemorrhage. Successful surgical treatment of two patients with a porcelain aorta requiring aortic valve replacement is reported. Traditional aortic cross-clamping was avoided with femoral artery cannulation, profound hypothermia, and circulatory arrest.
对于需要进行心脏手术且伴有严重内膜动脉粥样硬化疾病或升主动脉及横弓中层钙化的患者，最佳治疗方案尚未确定。钳夹这样的主动脉可导致栓塞、夹层形成、壁层撕裂和出血。本文报道了两例患有瓷化主动脉并需要进行主动脉瓣置换术的患者的成功手术治疗。通过股动脉插管、深度低温和循环停止避免了传统的主动脉交叉钳夹。
