用 3 种不同的同种移植物重做主动脉根和弓置换术。

Q4 Medicine Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2024-07-17 DOI:10.1510/mmcts.2024.044

Andrey Protopopov, Alexey Limansky, Dmitry Khvan, Dmitry Sirota, Maxim Zhulkov, Alexander Bogachev-Prokophiev, Maxim Nikitin, Alexander Zheravin, Khava Agaeva

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引用次数: 0

摘要

一名 74 岁的男性患者因主动脉弓和降胸动脉瘤病史入院。为防止冷冻象鼻手术后手臂缺血，进行了左锁骨下动脉与左颈总动脉吻合术。术后并发了败血症、胸腔感染和纵隔炎。我们决定用 3 个低温保存的同种移植物进行全主动脉根部和主动脉弓联合置换术。此外，我们还采用了 "反弓技术 "来调整远端吻合。该手术术后死亡率较高。

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Redo aortic root and arch replacement with 3 different homografts.

A 74-year-old male entered the hospital with a medical history of an aortic arch and a descending thoracic aneurysm. To prevent arm ischaemia after the frozen elephant trunk procedure, a left subclavian artery to left common carotid artery anastomosis was performed. The postoperative period was complicated by sepsissternal infection and mediastinitis. We decided to perform a combined total aortic root and aortic arch replacement with 3 cryopreserved homografts. In addition, the "reverse arch technique" was applied to adapt the distal anastomosis. The operation is associated with a high risk of mortality in the postoperative period.

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来源期刊

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

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0.60

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0.00%

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期刊介绍： The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.