无名动脉插管在主动脉弓部手术中的应用

目的:探讨右无名动脉插管在主动脉弓部手术中的应用。方法:采用右无名动脉插动脉灌注管行主动脉弓部手术26例。结果:全组行Bentall手术21例,Cabro手术1例,Weats手术3例,弓部瘤切除1例;26例病人全弓置换3例,次全弓置换23例。体外循环时间89～167(118±36)min;主动脉阻断时间57～128(89±21)min;深低温停循环时间17～48(29±11)min。病人术后2～10h内全部清醒,无神经系统并发症。本组因术中出血死亡1例,余病人康复出院。结论:右无名动脉插管体外循环技术仅一个切口即可完成弓部手术,在深低温停循环期间可顺利行脑灌注并收到良好的保护效果。

Application of right innominate arterial intubation in aortic arch surgery

Objective To evaluate the application of right innominate arterial intubation in aortic arch surgery. Methods 26 patients with cardiovascular diseases were performed innominate arterial intubation for extracorporeal circulation (ECC) in aortic arch surgery. Results The surgical procedures in this study included 21 Bentall, 1 Cabro, 3 Weat's and 1 aortic arch aneurysmectomy. Of 26 patients, 3 underwent whole arch replacement and 23 had sub- total arch replacement. Their ECC time was 89～ 167 (118± 36 )min, ao...