Stolf N A, Bittencourt D, Verginelli G, Zerbini E J
Ann Thorac Surg. 1983 Apr;35(4):394-9. doi: 10.1016/s0003-4975(10)61591-3.
The cases of 3 patients with an aneurysm of the innominate artery treated surgically are reported. The clinical manifestations were different, and the surgical procedures employed also varied. In 1 patient, the neck of the aneurysm was isolated and clamped near the aortic arch. It was closed, and a graft was interposed between the ascending aorta and the right carotid and subclavian arteries. In the second, the aneurysm was resected under cardiopulmonary bypass, deep hypothermia, and total circulatory arrest. The neck was closed with a large Teflon patch, and a tube graft was interposed between the ascending aorta and the right carotid artery. In the third, a graft was interposed between both carotid arteries; conventional cardiopulmonary bypass was instituted, and the aorta was clamped between the innominate and the left carotid arteries. The neck of the aneurysm was closed, and a graft was interposed between the ascending aorta and the right carotid and subclavian arteries. All patients had an excellent postoperative course. Our comments regarding the clinical and surgical aspects of this condition are based on the present experience and reports in the literature.
报告了3例接受无名动脉动脉瘤手术治疗的病例。临床表现各异，所采用的手术方法也各不相同。1例患者，动脉瘤颈部在主动脉弓附近被分离并夹闭。将其封闭，并在升主动脉与右颈动脉和锁骨下动脉之间置入移植物。第2例患者，在体外循环、深度低温和完全循环停止下切除动脉瘤。用一块大的特氟龙补片封闭颈部，并在升主动脉与右颈动脉之间置入管状移植物。第3例患者，在双侧颈动脉之间置入移植物；建立常规体外循环，在无名动脉和左颈动脉之间夹闭主动脉。封闭动脉瘤颈部，并在升主动脉与右颈动脉和锁骨下动脉之间置入移植物。所有患者术后病程良好。我们对这种疾病临床和手术方面的评论基于目前的经验和文献报道。
