Hamilton Barbara C S, Fukuhara Shinichi
Department of Cardiac Surgery, University of Michigan Health, Ann Arbor, Michigan.
Semin Intervent Radiol. 2024 Dec 13;41(6):566-569. doi: 10.1055/s-0044-1800955. eCollection 2024 Dec.
Traditional open surgical repair of aortic disease distal to the ascending aorta has long been associated with significant morbidity and mortality. Two specific anatomic locations of disease have proven especially challenging to manage; the transverse aortic arch and the thoracoabdominal aorta. Hybrid approaches have the potential to limit or even eliminate the need for cardiopulmonary bypass and hypothermic circulatory arrest, thus carrying the promise of improved patient outcomes. This manuscript discusses the hybrid approach to aortic repair and recent advances made in this combined multidisciplinary approach used in these treatments.
升主动脉远端主动脉疾病的传统开放手术修复长期以来一直伴随着显著的发病率和死亡率。已证明疾病的两个特定解剖位置尤其难以处理，即主动脉弓横部和胸腹主动脉。杂交手术方法有可能限制甚至消除体外循环和低温循环停止的需求，从而有望改善患者的治疗效果。本文讨论了主动脉修复的杂交手术方法以及在这些治疗中使用的这种多学科联合方法的最新进展。
