Roux P M, Bronner J F, Saad N, Baghdadi K, Zaccaria S, Restelli S
Service de Chirurgie Cardio-Vasculaire et Thoracique, Hôpital Notre Dame de Bon-Secours, Metz.
Ann Chir. 1994;48(3):230-3.
Post-traumatic abdominal aorta false aneurysm is rare, especially in the supra-renal segment. We present the case of a patient which severe respiratory failure who could not be sterno-phreno-laparotomized: we propose an original operative technique of exclusion of the false aneurysm by a limited incision preserving the diaphragm, with circulatory arrest and profound hypothermia, without aortic clamping, under cardiopulmonary bypass. We discuss the other surgical possibilities and propose our technique for special indications.
创伤后腹主动脉假性动脉瘤罕见,尤其是在肾上腺上段。我们报告了一例因严重呼吸衰竭无法进行胸骨-膈-剖腹手术的患者:我们提出了一种通过有限切口排除假性动脉瘤的原创手术技术,该切口保留膈肌,在体外循环下进行循环阻断和深度低温,不进行主动脉钳夹。我们讨论了其他手术可能性,并针对特殊适应症提出了我们的技术。