Konishi H, Ohshima K, Saitoh T, Kamisawa O, Ohki S, Hasegawa N, Kawashima T, Misawa Y, Katoh M, Fuse K
Department of Thoracic and Cardiovascular Surgery, Jichi Medical School, Tochigi, Japan.
Surg Today. 1998;28(9):962-3. doi: 10.1007/s005950050262.
A 27-year-old man with Marfan's syndrome underwent a total aortic graft replacement in three separate stages. Initially the abdominal aorta was replaced, followed by the ascending aorta and aortic arch, and finally the residual portion. The extensive reconstruction of both the ascending and transverse aorta at the second operation, even though no dissection was present in the aortic arch, reduced the risk of the subsequent operation since the same surgical approach did not have to be used.
一名患有马凡氏综合征的27岁男性分三个阶段接受了全主动脉移植置换手术。最初置换腹主动脉，接着是升主动脉和主动脉弓，最后是剩余部分。在第二次手术中对升主动脉和横主动脉进行了广泛重建，尽管主动脉弓未出现夹层，但降低了后续手术的风险，因为无需采用相同的手术入路。
