应用深低温停循环技术治疗主动脉弓动脉瘤

Management of aortic arch aneurysm using profound hypothermia and circulatory arrest.

作者信息

Mahfood S, Qazi A, Garcia J, Mispireta L, Corso P, Smyth N

出版信息

Ann Thorac Surg. 1985 May;39(5):412-7. doi: 10.1016/s0003-4975(10)61946-7.

DOI:10.1016/s0003-4975(10)61946-7

Abstract

The cases of 9 patients with aneurysms involving the aortic arch, repaired under profound hypothermia (average, 15.5 degrees C) and circulatory arrest, are presented. Five patients underwent elective operation and 4, emergency operation. Arch resection and graft replacement were done in 7 patients. Two patients with infected pseudoaneurysms of the aortic arch received patch grafts. There were 2 deaths (22%) from coagulopathy and decerebration. Seven patients are alive and well 18 to 45 months following repair. The combination of profound hypothermia and circulatory arrest appears to be a promising solution to a difficult problem.

摘要

本文介绍了9例累及主动脉弓的动脉瘤患者的病例，这些患者在深度低温（平均15.5摄氏度）和循环停止的情况下接受了修复手术。5例患者接受了择期手术，4例接受了急诊手术。7例患者进行了主动脉弓切除和移植物置换。2例主动脉弓感染性假性动脉瘤患者接受了补片移植。有2例患者因凝血障碍和脑功能丧失死亡（22%）。7例患者在修复术后18至45个月存活且状况良好。深度低温和循环停止的联合应用似乎是解决这一难题的一个有前景的方法。