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心脏直视手术升主动脉插管的并发症。

Complications of cannulation of the ascending aorta for open heart surgery.

作者信息

Salama F D, Blesovsky A

出版信息

Thorax. 1970 Sep;25(5):604-7. doi: 10.1136/thx.25.5.604.

DOI:10.1136/thx.25.5.604
PMID:5489185
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC472196/
Abstract

In a series of 420 ascending aortic cannulations for cardiopulmonary bypass, major complications occurred in three patients. Aortic dissection occurred in one patient believed to be due to aortic cross-clamping. Avoidance of this manœuvre is suggested when the aorta is grossly atheromatous. Two patients developing false aneurysms due to mediastinal infection are described. Prevention of mediastinal infection and its treatment are discussed. The method of treatment of false aneurysms by deep hypothermia is described.

摘要

在一系列420例用于体外循环的升主动脉插管操作中,3例患者出现了严重并发症。1例患者发生主动脉夹层,据信是由于主动脉交叉钳夹所致。当主动脉严重粥样硬化时,建议避免这种操作。文中描述了2例因纵隔感染而形成假性动脉瘤的患者。讨论了纵隔感染的预防及其治疗方法。还描述了通过深度低温治疗假性动脉瘤的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df57/472196/7b472e0ce82c/thorax00113-0091-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df57/472196/7b472e0ce82c/thorax00113-0091-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df57/472196/7b472e0ce82c/thorax00113-0091-a.jpg

相似文献

1
Complications of cannulation of the ascending aorta for open heart surgery.心脏直视手术升主动脉插管的并发症。
Thorax. 1970 Sep;25(5):604-7. doi: 10.1136/thx.25.5.604.
2
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引用本文的文献

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AORTIC PUNCH: AN ADJUNCT FOR CANNULATION OF THE ASCENDING AORTA DURING EXTRACORPOREAL CIRCULATION.主动脉穿刺:体外循环期间升主动脉插管的一种辅助方法。
Cardiovasc Dis. 1979 Sep;6(3):346-349.
2
Non-mycotic pseudoaneurysm in the ascending aorta following cardiac surgery.心脏手术后升主动脉非霉菌性假性动脉瘤
Jpn J Thorac Cardiovasc Surg. 1999 Jun;47(6):295-7. doi: 10.1007/BF03218015.
3
[Painless aortic dissection late after aortic valve replacement, presenting as superior vena cava syndrome].

本文引用的文献

1
Direct cannulation of the ascending aorta for open-heart surgery.心脏直视手术中升主动脉的直接插管
J Thorac Cardiovasc Surg. 1963 Apr;45:496-9.
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New method for systemic arterial perfusion in extracorporeal circulation.体外循环中全身动脉灌注的新方法。
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The use of the heart-lung apparatus in human cardiac surgery.
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Nonneoplastic diseases of aorta and pulmonary trunk--Part IV.主动脉和肺动脉干的非肿瘤性疾病——第四部分。
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Dissection of ascending aorta. Rare complication of aortocoronary venous bypass surgery.升主动脉解剖。主动脉冠状动脉静脉搭桥手术的罕见并发症。
Br Heart J. 1981 Nov;46(5):571-3. doi: 10.1136/hrt.46.5.571.
6
Dehiscence of infected aortocoronary vein graft suture lines. Cause of late pseudoaneurysm of ascending aorta.感染性主动脉冠状动脉静脉移植物缝合线裂开。升主动脉晚期假性动脉瘤的病因。
Br Heart J. 1983 Aug;50(2):193-5. doi: 10.1136/hrt.50.2.193.
7
Acute aortic dissection and medial degeneration in patients with 'floppy' mitral valves.患有“松弛型”二尖瓣的患者的急性主动脉夹层和中层退变。
Thorax. 1976 Feb;31(1):49-54. doi: 10.1136/thx.31.1.49.
8
Ascending aortic false aneurysm following cannulation for perfusion.灌注插管后升主动脉假性动脉瘤
Thorax. 1976 Apr;31(2):234-7. doi: 10.1136/thx.31.2.234.
9
Dissecting the dissecting aneurysm.解剖夹层动脉瘤。
Thorax. 1978 Jun;33(3):273-4. doi: 10.1136/thx.33.3.273.
10
Delayed non-mycotic false aneurysm of ascending aortic cannulation site.升主动脉插管部位的迟发性非霉菌性假性动脉瘤
Thorax. 1977 Dec;32(6):743-8. doi: 10.1136/thx.32.6.743.
4
Routine use of aortic cannulation in open heart operations. Experience with an improved technic.心脏直视手术中主动脉插管的常规应用。改良技术的经验。
Am J Surg. 1967 Dec;114(6):831-4. doi: 10.1016/0002-9610(67)90401-1.
5
Proximal aortic cannulation for extracorporeal circulation.用于体外循环的主动脉近端插管。
J Thorac Cardiovasc Surg. 1966 May;51(5):674-5.
6
Cannulation of the ascending aorta for perfusion during cardiopulmonary bypass. A new technique and analysis of results.体外循环期间升主动脉插管灌注。一种新技术及结果分析。
J Cardiovasc Surg (Torino). 1968 Jul-Aug;9(4):293-6.
7
A complication of aortic cannulation.主动脉插管的一种并发症。
J Cardiovasc Surg (Torino). 1968 Mar-Apr;9(2):207-8.
8
Partial cardiopulmonary bypass, hypothermia, and total circulatory arrest. A lifesaving technique for ruptured mycotic aortic aneurysms, ruptured left ventricle, and other complicated cardiac pathology.部分体外循环、低温和完全循环停止。一种用于治疗霉菌性主动脉瘤破裂、左心室破裂及其他复杂心脏病变的救命技术。
J Thorac Cardiovasc Surg. 1969 Oct;58(4):530-44.
9
Treatment of median sternotomy infection by mediastinal irrigation with an antibiotic solution.采用抗生素溶液纵隔冲洗治疗正中胸骨切开术后感染。
Ann Surg. 1969 Jun;169(6):914-20. doi: 10.1097/00000658-196906000-00011.