脱上升大动脉-腹部大动脉旁路在患者内泄症
Sergey Boldyrev1, Aslan Zakeryaev2, Arman Khudoyan2
1Department of Adult Cardiac Surgery, Regional Clinic Hospital #1, Krasnodar, Russian Federation Division for Cardiac Surgery and Cardiology, Kuban State Medical University, Krasnodar, Russia.
Multimedia manual of cardiothoracic surgery : MMCTS
|September 16, 2024
概括
胸内血管大动脉修复用于大动脉缩可以导致内脏泄漏. 本案例研究的细节不包括通过大动脉切割进行支架移植,脱移植和部动脉的分支.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 医学教育 医学教育
背景情况:
- 胸内血管大动脉修复 (TEVAR) 是对大动脉缩的常见治疗方法.
- 像内脏泄漏这样的并发症可能来自TEVAR.
- 复杂的TEVAR并发症的管理需要先进的外科手术技术.
研究的目的:
- 为了展示一个复杂的外科病例的视频教程.
- 在TEVAR.中展示一种排除支架移植的方法.
- 为了说明大动脉门和腹部大动脉重建的技术.
主要方法:
- 这项研究涉及一个病例介绍,该病例介绍的是一个用TEVAR治疗的大动脉缩的患者.
- 手术技术包括对大动脉门和腹部大动脉的全切.
- 进行了非抽性大动脉移植和左动脉和下关节动脉的分支切除.
主要成果:
- 成功地将支架移植物从血液中排除出来.
- 患者经历了成功的离大动脉移植.
- 左侧大动脉和下关节动脉的分支使修复更容易.
结论:
- 这种手术方法为TEVAR后的支架移植并发症的管理提供了可行的解决方案.
- 描述的技术对于复杂的大动脉门和腹部大动脉重建至关重要.
- 视频教程对于传播血管外科手术中先进的手术策略非常有价值.
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