Tayama K, Akashi H, Fukunaga S, Kosuga K, Aoyagi S
Second Department of Surgery, Kurume University School of Medicine, Japan.
Ann Thorac Surg. 1997 Feb;63(2):535-7. doi: 10.1016/s0003-4975(96)00905-8.
A 56-year-old man who had a huge type B dissecting aortic aneurysm extending from the distal arch to the thoracoabdominal aorta underwent replacement of the descending thoracic and thoracoabdominal aorta under hypothermic circulatory arrest with selective cerebral perfusion. The intercostal arteries at the T-8 to T-11 level were preserved with beveled distal anastomosis, and the celiac artery and the intercostal arteries at the T-5 and T-6 levels were reconstructed. The patient recovered uneventfully and is presently doing well 1 year after the operation.
一名56岁男性，患有巨大的B型主动脉夹层动脉瘤，从主动脉弓远端延伸至胸腹主动脉，在低温循环停搏并选择性脑灌注下接受了降胸主动脉和胸腹主动脉置换术。T8至T11水平的肋间动脉通过斜形远端吻合得以保留，腹腔动脉以及T5和T6水平的肋间动脉进行了重建。患者术后恢复顺利，术后1年目前情况良好。
