[降主动脉置换双管吻合术后胸腹动脉瘤破裂的手术治疗]。

Q4 Medicine
Shuichi Okada, Masahiko Ezure, Yutaka Hasegawa, Yasuyuki Yamada, Joji Hoshino, Hiroyuki Morishita, Masahiro Seki, Kazuki Tamura, Takashi Soda
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引用次数: 0

摘要

一名 75 岁的妇女 14 年前被诊断为 B 型急性主动脉夹层,7 年前被诊断为三通道主动脉夹层。6 年前她接受了全主动脉弓置换术,5 年前接受了降主动脉置换术,远端吻合采用双管吻合技术。计算机断层扫描(CT)显示她患有巨大甲状腺肿瘤和胸腹主动脉瘤(直径 58 毫米)。在随访期间,她感到背部疼痛。CT 显示胸腹主动脉瘤破裂。首先,通过胸腔内血管主动脉修补术闭合了降主动脉的假腔,然后顺利进行了胸腹主动脉置换术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Surgical Treatment for Ruptured Thoracoabdominal Aneurysm Following Descending Aortic Replacement with Double Barrel Anastomosis].

A 75-year-old woman was diagnosed with type B acute aortic dissection 14 years ago and 3-channeled aortic dissection 7 years ago. She received total arch replacement 6 years ago and descending aortic replacement with double barrel anastomosis technique for distal anastomosis 5 years ago. Computed tomography( CT) revealed giant thyroid tumor and thoracoabdominal aortic aneurysm( 58 mm in diameter). She suffered from back pain during her follow-up period. CT revealed ruptured thoracoabdominal aortic aneurysm. First, the false lumen of descending aorta was closed by thoracic endovascular aortic repair, and then thoracoabdominal aortic replacement was performed uneventfully.

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