第三部分左腋动脉移植物灌注下行主动脉置换术

IF 1.3 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiac Surgery Pub Date : 2023-07-05 DOI:10.1155/2023/2767859

S. Hattori, K. Noguchi, Y. Gunji, Motoki Nagatsuka, T. Yamabe, H. Kagaya, I. Katayama, T. Asai

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引用次数: 0

摘要

我们介绍了一种独特的灌注方法，通过左胸切开术进行开放性降主动脉修复。在降主动脉置换术中，通常采用股动脉插管灌注。然而，在粗糙或部分血栓形成的慢性主动脉夹层病例中，单独逆行灌注栓塞的风险很高，应考虑其他灌注方法。我们的左腋动脉第三部分移植物灌注方法是安全、简单的，有助于避免术后大脑并发症。在本研究中，我们报道了这种经左腋动脉远端灌注的移植物用于降主动脉置换术的优势和挑战。

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Descending Aortic Replacement with Third-Part Left Axillary Artery Graft Perfusion

We introduce a unique perfusion method for open descending aortic repair through a left thoracotomy. Perfusion from femoral artery cannulation is generally adopted in descending aortic replacement surgery. However, in cases with shaggy or partially thrombosed chronic aortic dissection, retrograde perfusion alone has a high risk of embolization and alternative perfusion methods should be considered. Our perfusion method from the third part of the left axillary artery graft is safe, simple, and useful for avoiding postoperative cerebral complications. In the present study, we report the advantages and challenges of this graft-interposed perfusion via the distal left axillary artery for descending aortic replacement.

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来源期刊

Journal of Cardiac Surgery 医学-外科

CiteScore

2.90

自引率

12.50%

发文量

976

审稿时长

3-8 weeks

期刊介绍： Journal of Cardiac Surgery (JCS) is a peer-reviewed journal devoted to contemporary surgical treatment of cardiac disease. Renown for its detailed "how to" methods, JCS''s well-illustrated, concise technical articles, critical reviews and commentaries are highly valued by dedicated readers worldwide. With Editor-in-Chief Harold Lazar, MD and an internationally prominent editorial board, JCS continues its 20-year history as an important professional resource. Editorial coverage includes biologic support, mechanical cardiac assist and/or replacement and surgical techniques, and features current material on topics such as OPCAB surgery, stented and stentless valves, endovascular stent placement, atrial fibrillation, transplantation, percutaneous valve repair/replacement, left ventricular restoration surgery, immunobiology, and bridges to transplant and recovery. In addition, special sections (Images in Cardiac Surgery, Cardiac Regeneration) and historical reviews stimulate reader interest. The journal also routinely publishes proceedings of important international symposia in a timely manner.