Asaoka M, Sasaki M, Masumoto H, Seki A
Department of Thoracic and Cardiovascular Surgery, Okazaki City Hospital, Aichi, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1995 Jan;43(1):100-3.
Two cases with blunt traumatic aneurysm of the aortic isthmus were treated recently. One was operated in early stage using heparin-bounded transient aorto-aorta bypass. The other underwent delayed operation with aorto-aorta bypass using centrifugal pump. Patch closures with Dacron fabric sealed by equine pericardium were performed in both of them with satisfactory results. We discussed the controversial problems, the timing of the operation and the method of adjunct circulation.
最近治疗了两例主动脉峡部钝性创伤性动脉瘤患者。其中一例在早期进行手术,采用肝素结合的暂时性主动脉-主动脉旁路术。另一例则在延迟手术后采用离心泵进行主动脉-主动脉旁路术。两例均采用马心包密封的涤纶补片进行修补,效果满意。我们讨论了存在争议的问题、手术时机和辅助循环方法。