摘要
主动脉弓部重建是主动脉手术中最具挑战性的操作.主动脉弓部的解剖畸形包括牛型主动脉弓、迷走右锁骨下动脉、单发椎动脉,对手术方式选择和脑保护方法有直接影响.主动脉弓部重建术的风险和手术难度较大,严格掌握指征可以降低手术风险.手术中动脉插管和脑保护策略直接关系到手术能否成功.本文对主动脉弓部重建过程中上述问题作一简要综述,希望对心血管外科医师能有所帮助.
Aortic arch reconstruction is one of the most challenging operations in aortic surgery.Anatomical abnormalities of the aortic arch,including bovine aortic arch,aberrant right subclavian artery,and single vertebral artery have direct impact on the choice of surgical procedures and methods of brain protection.The risk of aortic arch reconstruction and the difficulty of operation,it is possible to avoid the injury of patients by strictly grasping the indication of operation.Intraoperative arterial cannulation and brain protection strategies are directly related to the success of the operation.This article makes a brief review of the above problems in the reconstruction of the aortic arch,hoping to be helpful to the cardiovascular surgeon.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2017年第4期311-315,共5页
Chinese Journal of Surgery
关键词
动脉瘤
夹层
主动脉
胸
Aneurysm,dissecting
Aorta,thoracic
