[多灶性动脉瘤三期手术1例报告]。

S Sugimoto, M Inaoka
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引用次数: 0

摘要

一位72岁的男性接受了主动脉弓远端、胸降主动脉和腹下主动脉动脉瘤的三期手术。由于怀疑腹主动脉瘤即将破裂,作为紧急情况进行了移植物置换。2个月后行胸降主动脉动脉瘤手术,4个月后行主动脉弓远端动脉瘤手术。病人出院16个月后身体健康。这是成功的三个阶段的手术治疗三个孤立的主动脉瘤的第一份报告。多灶性主动脉瘤的治疗原则仍有争议。本文讨论了多灶性主动脉瘤的手术治疗策略,并对以往的文献进行了回顾。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Three-stage operation for multifocal aortic aneurysms--a case report].

A 72-year-old man underwent a three-stage operation for aneurysms of the distal aortic arch, descending thoracic aorta, and infrarenal abdominal aorta. Graft replacement of the abdominal aortic aneurysm was performed as an emergency because of suspicion of impending rupture. Operations for the aneurysms of the thoracic descending aorta and distal aortic arch were performed 2 months and 4 months later, respectively. The patient was well 16 months after discharge from the hospital. This is the first report of the successful three-stage surgical treatment of three isolated aortic aneurysms. The therapeutic principles for multifocal aortic aneurysms remain controversial. The strategy of surgical treatment for multifocal aortic aneurysms is discussed and previous literature is reviewed.

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