胸骨后胃导管重建患者的急性A型主动脉夹层手术。

IF 0.7 Q3 Medicine

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-01-01 Epub Date: 2023-11-08 DOI:10.1177/02184923231213429

Nutthawadee Luangthong, Shin Yamamoto, Susumu Oshima, Tomohiro Hirokami, Kensuke Ozaki

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引用次数: 0

摘要

背景：胸骨后胃导管重建是治疗食管癌症的常用手术技术，但它使急性a型主动脉夹层修复复杂化，并引起对胃导管损伤的担忧。病例介绍：一名73岁的女性，6个月前因食管癌症接受了食管切除术和胸骨后胃导管重建术，表现为严重的胸痛。计算机断层造影证实了急性A型主动脉夹层，并通过正中胸骨切开术进行了紧急半足弓置换术，保留了胃导管而没有损伤。患者恢复良好，3周后出院，无胃肠道症状或纵隔炎体征。

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Acute type A aortic dissection surgery in retrosternal gastric tube reconstruction patient.

Background: Retrosternal gastric tube reconstruction is a common surgical technique for managing esophageal cancer, but it complicates acute type A aortic dissection repair and raises concerns about gastric tube damage.

Case presentation: A 73-year-old female, who underwent esophagectomy with retrosternal gastric tube reconstruction 6 months ago for esophageal cancer, presented with severe chest pain. Acute type A aortic dissection was confirmed by contrast-enhanced computed tomography, and emergency hemiarch replacement through a median sternotomy was performed, preserving the gastric tube without injury. The patient recovered well and was discharged after 3 weeks, showing no gastrointestinal symptoms or signs of mediastinitis.

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来源期刊

ASIAN CARDIOVASCULAR & THORACIC ANNALS Multiple-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The Asian Cardiovascular and Thoracic Annals is an international peer-reviewed journal pertaining to cardiovascular and thoracic medicine. Besides original clinical manuscripts, we welcome research reports, product reviews, reports of new techniques, and findings of special significance to Asia and the Pacific Rim. Case studies that have significant novel original observations, are instructive, include adequate methodological details and provide conclusions. Workshop proceedings, meetings and book reviews, letters to the editor, and meeting announcements are encouraged along with relevant articles from authors.