PDF(Pubmed)
Abstract：
Coarctation of the aorta is a common congenital abnormality that may be associated with serious and rare anomalies like aneurysms. Severe coarctation or interrupted aortic arch in adults is usually managed by percutaneous interventions or extra-anatomic bypass. However, the presence of an aneurysm beyond the coarcted segment implies the opening of a collateral-rich segment of the aorta with redressal of the arch if hypoplastic. We describe our experience in managing three such patients through antero-lateral thoracotomy with antegrade cerebral perfusion. We have found this technique helpful in treating aneurysms of the distal aortic arch or proximal descending thoracic aorta.
摘要：
主动脉缩窄是一种常见的先天性异常，可能与动脉瘤等严重和罕见的异常有关。成人严重缩窄或主动脉弓中断通常通过经皮介入治疗或解剖旁路治疗。然而,狭窄段以外的动脉瘤的存在意味着主动脉的富含侧支的段的开放，如果发育不良，则弓的减少。我们描述了通过顺行脑灌注的前外侧开胸手术管理三名此类患者的经验。我们发现该技术有助于治疗远端主动脉弓或近端降主动脉的动脉瘤。
