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目的总结３例主动脉弓瘤的外科治疗经验，探讨主动脉弓瘤手术并发症的发生及处理。方法１例先天性主动脉弓瘤，用未间断脑血流完成人造血管替代术；１例主动脉弓囊性动脉瘤在深低温停循环下行补片修补术；另１例行升主动脉加主动脉全弓置换术。结果１例囊性动脉瘤主动脉弓有广泛粥样硬化的患者发生脑梗塞，３例患者均痊愈出院，随访３～１２月效果良好。结论中枢神经系统的损害是主动脉弓瘤手术治疗的严重并发症，对粥样硬化所致的主动脉弓瘤，需采取更进一步的措施防止脑栓塞的发生。
Objective To summarize the surgical treatment experience of 3 cases of aortic arch tumor and discuss the occurrence and treatment of surgical complications of aortic arch tumor. Methods One case of congenital aortic arch aneurysm was treated with an uninterrupted cerebral blood flow to replace the artificial blood vessel. One case of aortic arch cystic aneurysm was repaired by repairing the deep apical circulatory aortic ring; the other case was performed with ascending aorta and aortic arch. Replacement surgery. Results Cerebral infarction occurred in 1 patient with extensive atherosclerosis in the aortic arch of a cystic aneurysm. All 3 patients were cured and discharged. The follow-up period was 3 to 12 months. Conclusion The damage of the central nervous system is a serious complication of surgical treatment of aortic arch aneurysm. For atherosclerosis caused by aortic arch aneurysm, further measures need to be taken to prevent the occurrence of cerebral embolism.