Abe M, Sakai A, Hanayama N, Lin Z B, Oosawa M
Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Japan.
Kyobu Geka. 1996 Nov;49(12):1010-3.
A 69-year-old man showed gradually developing thoracoabdominal aortic aneurysm (TAAA) after coronary artery bypass grafting. The patient underwent graft replacement of TAAA uneventfully under partial cardiopulmonary bypass with selective perfusion of major abdominal branches. The major abdominal branches and two pairs of intercostal arteries were reconstructed. The patient showed no organ failure or spinal damage postoperatively. Partial cardiopulmonary bypass with selective perfusion of abdominal branches successfully protected both the visceral organs and the spinal cord from ischemia in a TAAA surgery.
一名69岁男性在冠状动脉旁路移植术后逐渐出现胸腹主动脉瘤(TAAA)。该患者在部分体外循环下,通过对主要腹部分支进行选择性灌注,顺利接受了TAAA移植置换术。重建了主要腹部分支和两对肋间动脉。患者术后未出现器官衰竭或脊髓损伤。在TAAA手术中,通过对腹部分支进行选择性灌注的部分体外循环成功地保护了内脏器官和脊髓免受缺血影响。