Sadahiro M, Togo T, Iguchi A, Akasaka J, Tabayashi K
Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan.
Kyobu Geka. 1995 May;48(5):347-50; discussion 350-3.
A seventy-two-year-old male patient was diagnosed to have major three kinds of atherosclerotic disease including transverse aortic arch aneurysm, ischemic heart disease and stenosis of left external iliac artery. Complete graft replacement of aortic arch was performed concomitantly with the coronary arterial bypass grafting and iliofemoral bypass grafting under selective cerebral and coronary perfusion technique. In addition, the graft used for iliofemoral arterial reconstruction was tailored to have two branches, which facilitate the insertion of the inflow cannula for a bypass and the occlusion balloon catheter. His postoperative course was uneventful and was discharged under a satisfactory condition.
一名72岁男性患者被诊断患有三种主要的动脉粥样硬化疾病，包括主动脉弓横部动脉瘤、缺血性心脏病和左髂外动脉狭窄。在选择性脑灌注和冠状动脉灌注技术下，同期进行了主动脉弓全移植置换术、冠状动脉旁路移植术和髂股旁路移植术。此外，用于髂股动脉重建的移植物被设计成有两个分支，这便于插入旁路的流入插管和阻塞球囊导管。他术后恢复顺利，在状况良好的情况下出院。
