相关实验视频
Updated: Sep 17, 2025

04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
119
[在胸前大动脉置换后,从血管移植的侧枝引起的伪动脉瘤]
Masahiko Kawamura1, Isao Nishijima, Shigenobu Senaha
1Department of Cardiovascular Surgery, Nanbu Tokusyukai Hospital, Okinawa, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|July 1, 2025
概括
大动脉伪动脉瘤是由于用于血管移植修复的退化丝 sutures 而发展的. 这一案例凸显了需要更强大的接材料,如用于大动脉手术的聚烯,以防止移植并发症.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 手术材料科学 科研 科研
背景情况:
- 一名52岁的男性患者有上升大动脉和大动脉根置换病史,出现了伪动脉瘤.
- 疑似动脉瘤被怀疑是由于骨线损伤导致的.
- 伪动脉瘤的逐渐扩大需要手术干预.
研究的目的:
- 报告一个上升大动脉伪动脉瘤形成的病例.
- 为了调查之前有过大动脉移植手术的患者的伪动脉瘤的原因.
- 强调在血管移植手术中 suture 材料选择的重要性.
主要方法:
- 对伪动脉瘤的外科探索.
- 从血管移植侧支部识别出血源.
- 审查历史的外科手术技术和接材料的特性.
主要成果:
- 以前用于绑定血管移植侧枝的丝,没有.
- 出血发生在不安全的侧枝上.
- 已知丝在体内随着时间的推移而降解,失去拉伸强度.
结论:
- 丝的退化可能导致诸如伪动脉瘤形成等并发症.
- 建议除了丝外,还使用聚烯 sutures 连接血管移植侧枝.
- 这一案例强调了耐用接材料在长期大动脉移植完整性方面的关键作用.
相关概念视频
Aneurysm III: Interprofessional Care
29
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
29
Aneurysm I: Introduction
31
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
31
Aneurysm II: Clinical Manifestations and Diagnostic Studies
26
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
26
Aneurysm IV: Nursing Management
23
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
23
Aortic Regurgitation I: Introduction
45
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
45
Thoracic Aorta
767
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,...
767

