Okada K, Ogawa K, Asada T, Mukohara N, Nishiwaki M, Higami T, Sugimoto T
Division of Cardiovascular Surgery, Hyogo Brain and Heart Center, Japan.
Surg Today. 1994;24(4):371-4. doi: 10.1007/BF02348571.
Successful repair of a distal aortic arch aneurysm without aortic cross-clamping was carried out in a 74-year-old man, using a combination of special separate cerebral perfusion and retrograde coronary perfusion, termed non-clamping selective cerebral perfusion. We believe that satisfactory results following aortic arch surgery in elderly patients can only be achieved through the prevention of emboli derived from an aortic cross-clamping site, and shortened ischemic time of the vital organs.
一名74岁男性成功进行了无主动脉交叉钳夹的远端主动脉弓动脉瘤修复手术，采用了特殊的单独脑灌注和逆行冠状动脉灌注相结合的方法，即非钳夹选择性脑灌注。我们认为，老年患者主动脉弓手术后要取得满意的结果，只能通过预防源自主动脉交叉钳夹部位的栓子，并缩短重要器官的缺血时间来实现。
