论文部分内容阅读
本文介绍了90年7月至93年6月美国纽约Mount Sinai医学中心(第三级心胸外科中心)68例升主动脉瘤(43例,68％)或夹层(20例,32％)患者的心导管和冠状动脉造影的经验。平均年龄67±11岁。8例有既往升主动脉手术史,包括Bental术后假性动脉瘤形成,升主动脉人工血管移植术后佛氏窦瘤或夹层形成,冠状动脉搭桥术后晚期动脉瘤形成或夹层。术前根据肢体动脉搏动及其程度,双侧肢体血压差异和CT扫描结果仔细选择插管进路。
This article presents 68 patients with ascending aortic aneurysm (43 cases, 68%) or dissected (20 cases, 32%) in the Mount Sinai Medical Center (Third Cardiac Surgery Center) in New York from July 1990 to June 1993 Cardiac catheterization and coronary angiography experience. The average age of 67 ± 11 years old. Eight patients had a prior history of ascending aorta surgery, including the formation of pseudoaneurysms after Bental surgery, the formation of sinusoids or dissection in the ascending aorta after vascular graft, and the formation or dissection of advanced aneurysms after coronary artery bypass grafting. Preoperative arterial pulsation and its extent according to the limbs, bilateral limb blood pressure and CT scan results carefully selected intubation approach.