Ohtake H, Urayama H, Katada S, Kawasuji M, Watanabe Y, Kawano M
Department of Surgery (1), Kanazawa University Faculty of Medicine, School of Medicine, Japan.
Panminerva Med. 1998 Dec;40(4):329-31.
Middle aortic syndrome is a rare disease caused by stenosis of the distal thoracic and abdominal aorta involving the visceral and renal arteries.
We performed reconstructive bypass surgery for three middle aortic syndrome patients. We used magnetic resonance angiography as well as conventional angiography to assess the stenotic vessels. According to these data, branched graft was fabricated preoperatively. We selected Dacron for aortic bypass graft, and ePTFE for the branch graft. In previous reports, branched graft was not applied for the surgery for middle aortic syndrome.
Using this branched graft, the clamping time and ischemic time of the organs were shortened.
Using branched graft prefabricated according to accurate preoperative angiographic findings, the reconstructive surgery is thought to proceed more safely.
中段主动脉综合征是一种由胸段远端和腹主动脉狭窄累及内脏和肾动脉引起的罕见疾病。
我们对3例中段主动脉综合征患者进行了重建性搭桥手术。我们使用磁共振血管造影以及传统血管造影来评估狭窄血管。根据这些数据，术前制作分支移植物。我们选择涤纶用于主动脉搭桥移植物，选择膨体聚四氟乙烯用于分支移植物。在以前的报告中，分支移植物未应用于中段主动脉综合征的手术。
使用这种分支移植物，器官的夹闭时间和缺血时间缩短。
根据准确的术前血管造影结果预制分支移植物，重建手术被认为可以更安全地进行。
