升主动脉包裹后晚期主动脉壁变性。

IF 1.1 4区医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

General Thoracic and Cardiovascular Surgery Pub Date : 2025-06-01 Epub Date: 2025-02-23 DOI:10.1007/s11748-025-02133-2

Haruna Araki, Tadashi Kitamura, Shinzo Torii, Toshiaki Mishima, Masaomi Fukuzumi, Kagami Miyaji

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引用次数: 0

摘要

目前对主动脉包裹后的病理变化知之甚少。本研究调查了升主动脉包裹后的长期结果，包括病理结果。在2004年至2012年接受主动脉包裹的30名患者中，有6名患者后来进行了重做手术。所有的患者都接受了升主动脉置换术，因为由于粘连导致的主动脉交叉夹持的安全性问题。病理上，中膜丢失，取而代之的是异物肉芽。术后晚期包裹主动脉出现严重糜烂。包裹的主动脉可能会在重做手术中被替换。

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Aortic wall degeneration late after ascending aortic wrapping.

Little is currently known about the pathological changes after aortic wrapping. This study investigated long-term outcomes including pathological findings after ascending aortic wrapping. Of the 30 patients who underwent aortic wrapping from 2004 to 2012, redo surgery was later performed in six patients. All the patients underwent ascending aorta replacement because of safety issues associated with aortic cross clamping due to adhesion. Pathologically, the tunica media had been lost and replaced by foreign body granulation. The wrapped aorta manifested severe erosion late after surgery. The wrapped aorta will likely be replaced in a redo surgery.

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来源期刊

General Thoracic and Cardiovascular Surgery Medicine-Pulmonary and Respiratory Medicine

CiteScore

2.70

自引率

8.30%

发文量

142

期刊介绍： The General Thoracic and Cardiovascular Surgery is the official publication of The Japanese Association for Thoracic Surgery and The Japanese Association for Chest Surgery, the affiliated journal of The Japanese Society for Cardiovascular Surgery, that publishes clinical and experimental studies in fields related to thoracic and cardiovascular surgery.