论文部分内容阅读
目的探讨累及左颈总动脉起始部的巨大真性动脉瘤的手术方法。方法回顾性总结1997年2月至2004年6月间3例该病患者的临床资料,均行手术治疗:胸部正中切口显出前纵隔,切开心包及其返折,显露心脏及其大血管,联合颈部切口显出动脉瘤全貌,升主动脉-颈内动脉自体静脉转流后,于主动脉弓上切除动脉瘤。结果3例均于术后7d治愈出院,分别随访8月、5年、7年无动脉瘤复发。结论利用自体静脉行升主动脉-颈内动脉移植技术,经胸部正中切口根治累及左颈总动脉起始部的巨大动脉瘤,具有显露清晰、操作方便、无须切开胸腔、创伤小、恢复快的优点,是一种较好的手术方案。
Objective To explore the surgical method of huge true aneurysm involving the beginning of left common carotid artery. Methods The clinical data of 3 patients with this disease from February 1997 to June 2004 were retrospectively reviewed. All the patients underwent surgery: the anterior mediastinum was revealed through the median incision of the chest, the pericardium was cut and its reflex was opened to reveal the heart and its large blood vessels , Combined neck incision shows the entire picture of the aneurysm, ascending aorta - internal carotid artery autologous venous bypass, resection of the aneurysm in the aortic arch. Results All the 3 cases were cured and discharged at 7 days after operation. There were no recurrences of aneurysms in 8 months, 5 years and 7 years respectively. Conclusions Autologous venous ascending aorta-internal carotid artery grafting technique is used to treat the huge aneurysm involving the start of the left common carotid artery through the median incision of the thoracic spine. It has the advantages of clear appearance, convenient operation, no need of incising the thoracic cavity, less trauma and rapid recovery The advantages of a better surgical plan.