活板门开胸术作为主动脉弓动脉瘤的一种手术入路

Trapdoor thoracotomy as a surgical approach for aortic arch aneurysm.

作者信息

Imazeki T, Yamada T, Irie Y, Katayama Y, Kiyama H

机构信息

Department of Cardiovascular Surgery, Dokkyo University School of Medicine, Koshigaya Hospital, Koshigaya City, Saitama, Japan.

出版信息

Ann Thorac Surg. 1998 Jul;66(1):272-4. doi: 10.1016/s0003-4975(98)00408-1.

DOI:10.1016/s0003-4975(98)00408-1

PMID:9692488

Abstract

Since 1991 ten patients, 9 male and 1 female, with aortic arch aneurysm underwent surgical therapy with trapdoor thoracotomy. The mean age was 67.4 +/- 9.1 (standard deviation) years at operation. In addition to the aortic arch repair, we also performed seven descending aortic replacements. We performed one partial arch replacement, one total arch replacement, and one aneurysmorrhaphy and wrapping of the aortic arch aneurysm. We experienced 1 case of paraplegia, no hospital death, and no long-term mortality.

摘要

自1991年以来，10例主动脉弓动脉瘤患者（9例男性，1例女性）接受了活板门开胸手术治疗。手术时的平均年龄为67.4±9.1（标准差）岁。除了主动脉弓修复外，我们还进行了7例降主动脉置换术。我们进行了1例部分弓置换、1例全弓置换以及1例主动脉弓动脉瘤缝扎和包裹术。我们经历了1例截瘫，无医院死亡病例，也无长期死亡病例。