在0型大动脉狭窄症中,大动脉根扩大和上升大动脉的替换
Clara Großmann1, Ihor Krasivskyi1, Ilija Djordjevic1
1Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany.
Perfusion
|February 7, 2024
概括
本案例报告详细介绍了大动脉根扩大和上升大动脉置换,用于严重的大动脉狭窄. 这种外科手术方法解决了复杂的大动脉解剖学中的患者假肢不匹配问题.
科学领域:
- 心血管外科心血管外科
- 心脏外科手术 心脏外科手术
- 胸部外科手术 胸部外科手术
背景情况:
- 严重的大动脉狭窄带来了重大的外科手术挑战.
- 双主动脉和主动脉动脉瘤使主动脉根手术复杂化.
- 患者假肢不匹配是患有小主动脉根患者的风险.
研究的目的:
- 描述一项用于大动脉根扩大的新手术技术.
- 在患有双主动脉和主动脉动脉瘤的患者中治疗严重的主动脉狭窄症.
- 介绍一种在大动脉根重建过程中创建新冠状动脉外阴道的方法.
主要方法:
- 一名68岁的女性患者患有严重的大动脉狭窄和大动脉动脉瘤,接受了手术修复.
- 使用组织贴片进行了大动脉根扩大,以创建一个新冠肺非冠状 sinus.
- 上升性大动脉置换与大动脉根扩大一起进行.
主要成果:
- 该手术成功地治疗了严重的大动脉狭窄症.
- 实现了大动脉根扩大,减轻了患者假肢不匹配的风险.
- 创建一个新冠肺鼻成功实施.
结论:
- 大动脉根扩大是一种可行的策略,可以防止患者与假肢不匹配.
- 仔细的手术规划对于优化复杂的大动脉解剖结果至关重要.
- 描述的主动脉根扩大和新冠肺部鼻形成的组合是新奇的.
相关概念视频
The Aorta
818
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
818
Thoracic Aorta
487
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
487
The Arch of Aorta
669
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
669
Abdominal Aorta
783
Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
The celiac trunk, a singular artery, divides into the left gastric artery, which...
783
Heart Valves
4.6K
The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
4.6K


