[翻盖切口加全胸骨切开术作为复杂主动脉弓动脉瘤的复杂入路]。

Archivos Peruanos de cardiologia y cirugia cardiovascular Pub Date : 2022-07-01 DOI:10.47487/apcyccv.v3i2.225.

Gerber Polo-Gutiérrez, Luis Felipe Bustinza-Carassa, Yemmy Pérez-Valverde, Yuler Abono Sánchez

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摘要

主动脉弓动脉瘤的外科治疗是主动脉外科最大的挑战之一。我们报告一位患有马凡氏综合征的年轻女性，她患有严重的胸肌凹陷，并曾接受过本特尔手术，她因主动脉弓动脉瘤破裂而接受了紧急手术。我们通过蛤壳切口联合正中胸骨切开术成功入路。

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[Clamshell incision plus full sternotomy as a complex approach to complicated aortic arch aneurysm].

Surgical treatment of aortic arch aneurysm is one of the greatest challenges of aortic surgery. We present a young woman with Marfan syndrome, severe Excavated Pectus and previous Bentall procedure, who underwent emergency surgery for ruptured aortic arch aneurysm. We achieved a successful approach through a Clamshell incision associated with a median re-sternotomy.

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