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视频辅助的近端胸前大动脉伪动脉瘤的开放性修复

Henrique Soares Moreira^1,2, Alessia Cannone³, José Máximo^1,2

¹Department of Cardiothoracic Surgery, Hospital Universitário de São João, Porto, Portugal

Multimedia manual of cardiothoracic surgery : MMCTS

|January 7, 2026

概括

开放式手术是复杂的下降胸腔大动脉动脉瘤的可行选择,当内血管修复是不可能的. 这一案例证明了成功的,使用先进的技术对具有挑战性的大动脉伪动脉瘤进行了入侵性最小的开放性修复.

科学领域:

心血管外科心血管外科
血管外科血管外科
胸部外科手术胸部外科手术

背景情况:

开放式手术对于下降胸前大动脉动脉瘤至关重要,当内血管修复由于解剖学限制而不可行时.
复杂的伪动脉瘤,特别是在远端大动脉和近端下降大动脉接口,呈现显著的手术挑战.

研究的目的:

介绍一例复杂的伪动脉瘤修复在远端大动脉门和近端下降大动脉的情况.
为了说明微创性开放外科技术在挑战胸前大动脉病理方面的成功应用.

主要方法:

一名63岁的女性患者在大动脉门/下降大动脉交叉点 (区域3/4) 发生了伪动脉瘤,接受了开放式修复.
进行了有限的左侧胸切除术,心肺绕道,左侧关节下动脉脱枝,并用达克朗移植切除/替换伪动脉瘤.
视频辅助和长轴仪器被用于精确的剖析.

主要成果:

患者经历了一次平稳的康复,没有神经复杂症.
取得了成功的伪动脉瘤切除和大动脉移植移植.
由于成功的手术结果,及时的出院得到了便利.

结论:

开放性大动脉修复可以安全有效地通过更少的侵入性访问进行,即使在解剖学上复杂的情况下.
现代技术完善了开放式手术,保持了它在治疗胸前大动脉动脉瘤方面的重要性.
当内血管干预被排除在外时,这种方法提供了一个可行的替代方案.

关键词:

最少的侵入性侵袭性疾病伪动脉瘤是一种伪动脉瘤.胸部大动脉的胸部大动脉

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