PDF(Pubmed)
Abstract：
As the population ages and co-morbidities become more prevalent, the complexity of patients presenting for coronary artery bypass surgery is increasing. Cardiopulmonary bypass and aortic cross-clamping in these patients carry increased risk and, indeed, in some patients, with ascending aortic disease, the risks are prohibitive. Total-arterial anaortic coronary artery surgery is a technique that provides complete surgical coronary artery revascularization without cardiopulmonary bypass and without manipulating the ascending aorta. The technique essentially eliminates the risk of cerebral embolization of aortic atheroma and aortic injury. Anaortic techniques are an essential skillset for coronary artery surgery centers treating higher-risk patients.
摘要：
随着人口老龄化和合并症越来越普遍，接受冠状动脉搭桥手术的患者的复杂性正在增加.这些患者的心肺转流和主动脉阻断风险增加，的确,在一些患者中，升主动脉疾病，风险令人望而却步。全动脉主动脉冠状动脉手术是一种无需体外循环和操纵升主动脉即可提供完整的手术冠状动脉血运重建的技术。该技术基本上消除了主动脉粥样硬化和主动脉损伤的脑栓塞的风险。主动脉技术是冠状动脉手术中心治疗高危患者的基本技能。
