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心脏直视手术中无名动脉动脉瘤的处理

Management of an innominate artery aneurysm during an open heart operation.

作者信息

Adkins M S, Gaines W E, Laub G W, Anderson W A, Fernandez J, McGrath L B

机构信息

Department of Thoracic and Cardiovascular Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey 08015.

出版信息

Ann Thorac Surg. 1993 Aug;56(2):377-9. doi: 10.1016/0003-4975(93)91185-p.

DOI:10.1016/0003-4975(93)91185-p
PMID:8347030
Abstract

A 76-year-old woman was found to have a 4 x 2.5-cm saccular aneurysm at the origin of the innominate artery at the time of a reoperative open heart operation. The operative procedure was modified to include repair of the aneurysm with a Dacron patch. During the period of innominate artery occlusion, the patient was cooled to 25 degrees C and the mean arterial pressure was maintained at 90 mm Hg to maximize cerebral protection.

摘要

一名76岁女性在再次进行心脏直视手术时,被发现无名动脉起始处有一个4×2.5厘米的囊状动脉瘤。手术程序进行了修改,包括用涤纶补片修复动脉瘤。在无名动脉阻断期间,患者体温降至25摄氏度,平均动脉压维持在90毫米汞柱,以最大限度地保护大脑。

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Management of an innominate artery aneurysm during an open heart operation.心脏直视手术中无名动脉动脉瘤的处理
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2
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引用本文的文献

1
Surgical treatment of innominate artery and aortic aneurysm: a case report and review of the literature.无名动脉及主动脉瘤的外科治疗:一例病例报告及文献综述
J Cardiothorac Surg. 2013 Jun 1;8:141. doi: 10.1186/1749-8090-8-141.
2
Aneurysm of the innominate artery with aberrant origin of the left carotid artery. Case report.无名动脉动脉瘤伴左颈动脉异常起源。病例报告。
Tex Heart Inst J. 1996;23(4):298-300.