Apico-brachiocephalic artery bypass for aortic stenosis with porcelain aorta.
Apico-brachiocephalic artery bypass for aortic stenosis with porcelain aorta.
复制标题
顶臂头臂动脉搭桥术治疗瓷主动脉主动脉瓣狭窄。
DOI：
10.1016/j.athoracsur.2009.06.124
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
S. Sano
中科院分区：
文献类型：
--
作者：
S. Shimizu;M. Nakai;A. Itoh;K. Yoshizumi;Y. Ochi;M. Okada;S. Sano
心尖-主动脉搭桥术治疗左心室流出道梗阻，中期死亡率可接受。然而，对于瓷质主动脉的患者，有时很难将管道的远端吻合到钙化的降主动脉上。我们报告了一位80岁的女性瓣膜狭窄患者的非接触式心尖-主动脉搭桥术，其中的瓷质主动脉从升主动脉延伸到腹主动脉。我们在深低温停循环的情况下施行了头顶臂动脉搭桥术。对于患有严重瓷质主动脉的患者，这一手术可能会成为一种有用的手术选择。
Apicoaortic bypass for left ventricular outflow tract obstruction has been performed with acceptable mid-term mortality. However, sometimes it is difficult to anastomose the distal end of the conduit to the calcified descending aorta in patients with a porcelain aorta. We report an aortic non-touch modification of the apicoaortic bypass in an 80-year-old woman with valvular aortic stenosis and a porcelain aorta extending from the ascending to abdominal aorta. We performed apico-brachiocephalic artery bypass under circulatory arrest with deep hypothermia. This procedure may become a useful surgical option for patients with a severe porcelain aorta.