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经正中胸骨切开术修复降主动脉夹层或动脉瘤并同期修复升主动脉。

Repair of descending thoracic aortic dissection or aneurysm combined with repair of the proximal aorta via median sternotomy.

作者信息

Sarsam M A

机构信息

The Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, Northern Ireland.

出版信息

J Card Surg. 1998 Jan;13(1):37-42. doi: 10.1111/j.1540-8191.1998.tb01052.x.

DOI:10.1111/j.1540-8191.1998.tb01052.x
PMID:9892484
Abstract

A single-stage procedure for repair of the whole thoracic aorta via median sternotomy is described. The procedure is based on exposure of the descending aorta, posterior to the pericardium in the oblique sinus, or exposure of the aorta in the supracoeliac region and the placement of an endoprosthesis as an intraluminal graft. The ascending aorta and arch repair can be carried out as usual. The procedure has been performed in five patients with either dissection or aneurysm in the period between 1992 and 1997.

摘要

本文描述了一种经正中胸骨切开术修复整个胸主动脉的单阶段手术方法。该手术基于在斜窦心包后方暴露降主动脉,或在腹腔干上方区域暴露主动脉,并置入腔内移植物作为血管内假体。升主动脉和主动脉弓的修复可按常规进行。1992年至1997年期间,该手术已应用于5例患有夹层或动脉瘤的患者。

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