【摘要】 目的:总结主动脉右弓右降合并Stanford B型主动脉夹层的外科治疗经验。方法:3例右位主动脉弓、右位降主动脉、迷走左锁骨下动脉(迷走左锁骨下动脉型)合并Stanford B型主动脉夹层的患者经胸部右后外切口行胸降主动脉置换术、迷走左锁骨下动脉缝扎术。结果:3例患者均痊愈出院,住院天数7～10 d,无左上肢缺血症状及神经系统并发症。结论:主动脉右弓右降合并Stanford B型主动脉夹层患者行胸降主动脉置换术方法可行,临床疗效满意,术中判断后行迷走左锁骨下动脉缝扎术,可简化手术方式,但应避免术后左上肢缺血坏死。更多还原

【Abstract】 Objective:To summarize experience in surgical treatment of Stanford B aortic dissection involving right-sided aortic arch with right –sided descending aorta.Methods: Data of 3 cases of Stanford B aortic dissection involving right-sided aortic arch with right-sided descending aorta and aberrant left subclavian artery were reviewed.Descending thoracic aorta graft replacement and aberrant left subclavian artery transfixion were performed via right posterolateral thoracotomy.Results: All 3 patients survived the operation.Hospitalization days were 3 to 7.They had no symptoms of left upper limb ischemia or nervous system complications.Conclusion: The application of descending thoracic aorta graft replacement in treatment of Stanford B aortic dissection involving right-sided aortic arch with right-sided descending aorta and aberrant left subclavian artery is feasible and could acquire satisfied clinical effect.We could simplify operational procedure with the use of aberrant left subclavian artery transfixion after the evaluation in the operation.It is essential to avoid left upper limb necorsis.更多还原