Sakai H, Nakayama Y, Naitoh K, Hotta K, Ueno T, Minato N, Natsuaki M, Itoh T, Kuchiki H
Department of Cardiovascular Surgery, Saga Medical College, Saga, Japan.
Kyobu Geka. 1994 Apr;47(4):268-71.
A 83-year-old woman was admitted to our hospital because of back pain and shock. Her chest X-ray and CT scan demonstrated a large arch aneurysm and hemothorax, suggesting ruptured aortic arch aneurysm. The ruptured aortic arch aneurysm was replaced with a woven Dacron graft under selective cerebral perfusion (SCP). Her postoperative course was uneventful without any neurological deficits. For the past three years, we have utilized SCP in 12 cases of arch aneurysms. There were three early deaths in this series. The cause of death were bleeding in one patient and cerebral accident in two patients. The latter two patients had severe atheromatous changes in the aortic wall. The SCP technique was a useful method of cerebral protection, especially for elderly patient with aortic arch aneurysm.
一名83岁女性因背痛和休克入院。她的胸部X线和CT扫描显示有一个巨大的主动脉弓动脉瘤和血胸，提示主动脉弓动脉瘤破裂。在选择性脑灌注（SCP）下，用编织涤纶移植物替换了破裂的主动脉弓动脉瘤。她的术后病程顺利，没有任何神经功能缺损。在过去三年中，我们在12例主动脉弓动脉瘤病例中采用了SCP。该系列中有3例早期死亡。死亡原因是1例患者出血，2例患者发生脑部意外。后两名患者的主动脉壁有严重的动脉粥样硬化改变。SCP技术是一种有用的脑保护方法，特别是对于患有主动脉弓动脉瘤的老年患者。
