Abstract：
A 74-year-old male entered the hospital with a medical history of an aortic arch and a descending thoracic aneurysm. To prevent arm ischaemia after the frozen elephant trunk procedure, a left subclavian artery to left common carotid artery anastomosis was performed. The postoperative period was complicated by sepsissternal infection and mediastinitis. We decided to perform a combined total aortic root and aortic arch replacement with 3 cryopreserved homografts. In addition, the \"reverse arch technique\" was applied to adapt the distal anastomosis. The operation is associated with a high risk of mortality in the postoperative period.
摘要：
一名74岁的男性进入医院，有主动脉弓和胸动脉瘤的病史。为了防止冷冻大象躯干手术后手臂缺血，行左锁骨下动脉与左颈总动脉吻合。术后并发胸骨感染和纵隔炎。我们决定用3个冷冻保存的同种异体移植物进行全主动脉根部和主动脉弓联合置换。此外,应用“反向弓技术”来适应远端吻合。手术与术后死亡的高风险相关。
