Bonome González C, Alvarez Refojo F, Fernández Carballal F, Rodríguez Alvarez R
Servicio de Anestesiología y Reanimación, Hospital Juan Canalejo, La Coruña.
Angiologia. 1993 Nov-Dec;45(6):195-8.
We report a case of a fifty-seven (57)-years old man undergoing elective surgery of a thoracoabdominal and aortoiliac aneurysm in a single surgical time. The patients is operated undergoing general anesthetic combined with thoracic epidural blockade, and it was done two aortic cross-clamping: one to five cm of the aortic arch and the other to the infrarenal level. The most important intraoperative complications were during the thoracic aortic cross-clamping and the most important postoperative complication was related 48 hours later, to paraparesis after a hypotension episode what improved with rehabilitation treatment.
我们报告一例57岁男性患者，在单次手术中接受胸腹主动脉瘤和主-髂动脉瘤择期手术。患者在全身麻醉联合胸段硬膜外阻滞下接受手术，进行了两次主动脉阻断：一次在主动脉弓下方1至5厘米处，另一次在肾下水平。术中最重要的并发症发生在胸主动脉阻断期间，术后最重要的并发症与48小时后一次低血压发作后出现的双下肢轻瘫有关，经康复治疗后有所改善。
