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Bentall手术后出现巨大吻合口假性动脉瘤导致术后晚期心源性休克。

Giant anastomotic pseudoaneurysm after Bentall operation causing late postoperative cardiogenic shock.

作者信息

Doria E, Ballerini G, Pepi M

机构信息

Centro Cardiologico Monzino, IRCCS, Institute of Cardiology, University of Milan, Italy.

出版信息

Ital Heart J. 2001 Aug;2(8):627-30.

PMID:11577839
Abstract

Pseudoaneurysm of the ascending aorta is a rare but severe complication occurring after composite graft surgery for combined aortic valve and ascending aorta disease. The diagnosis of this condition can be difficult because anastomotic pseudoaneurysms show highly variable clinical features depending on the site of the aortic dehiscence and on the involvement of the surrounding structures. We report an unusual case of a late postoperative aortic graft dehiscence, causing acute right heart failure.

摘要

升主动脉假性动脉瘤是一种罕见但严重的并发症,发生于主动脉瓣和升主动脉疾病联合复合移植手术后。这种情况的诊断可能很困难,因为吻合口假性动脉瘤的临床特征高度可变,取决于主动脉裂开的部位以及周围结构的受累情况。我们报告一例术后晚期主动脉移植物裂开导致急性右心衰竭的罕见病例。

相似文献

1
Giant anastomotic pseudoaneurysm after Bentall operation causing late postoperative cardiogenic shock.Bentall手术后出现巨大吻合口假性动脉瘤导致术后晚期心源性休克。
Ital Heart J. 2001 Aug;2(8):627-30.
2
Case images: Cardiogenic shock caused by huge para-aortic hematoma and pseudoaneurysm after Bentall operation.病例图片:Bentall手术后巨大主动脉旁血肿和假性动脉瘤导致的心源性休克。
Turk Kardiyol Dern Ars. 2014 Jun;42(4):414. doi: 10.5543/tkda.2014.26925.
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[Pseudoaneurysm as a complication of the reconstruction of the ascending aorta using valved graft: periannular dehiscence simulating severe aortic insufficiency].[使用带瓣移植物重建升主动脉的并发症——假性动脉瘤:模拟严重主动脉瓣关闭不全的瓣环周围裂开]
Rev Esp Cardiol. 1999 Sep;52(9):737-40.
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Ascending aortic infected pseudoaneurysm with aortic insufficiency following cardiac operation for infective endocarditis.感染性心内膜炎心脏手术后出现的升主动脉感染性假性动脉瘤伴主动脉瓣关闭不全。
Ann Thorac Cardiovasc Surg. 2000 Oct;6(5):336-8.
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A case of acute heart failure due to giant aortic pseudoaneurysm with fistulization to the right ventricle after a modified Bentall operation.1例改良Bentall手术后因巨大主动脉假性动脉瘤并右心室瘘导致急性心力衰竭的病例。
Eur J Echocardiogr. 2008 Sep;9(5):716-9. doi: 10.1093/ejechocard/jen144. Epub 2008 Apr 21.
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[Traumatic aortic regurgitation with an ascending aortic aneurysm: report of a case].[创伤性主动脉瓣关闭不全合并升主动脉瘤:1例报告]
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Repair of a recurrent pseudoaneurysm of the ascending aorta in an atomic bomb survivor with myelodysplastic syndrome.一名患有骨髓增生异常综合征的原子弹幸存者升主动脉复发性假性动脉瘤的修复术。
J Card Surg. 2009 Jul-Aug;24(4):433-4. doi: 10.1111/j.1540-8191.2009.00841.x.
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Clinical outcomes after separate and composite replacement of the aortic valve and ascending aorta.主动脉瓣与升主动脉分别置换及联合置换后的临床结果。
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[Bentall operation for a 90-year-old man with root aneurysm; report of a case].[90岁根部动脉瘤男性患者的Bentall手术;病例报告]
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An unusual case of postoperative giant left ventricular pseudoaneurysm.一例罕见的术后巨大左心室假性动脉瘤病例。
Int J Cardiol. 2004 Nov;97(2):323-5. doi: 10.1016/j.ijcard.2003.06.032.

引用本文的文献

1
Symptomatic Distal Anastomotic Pseudo-aneurysm After the Bentall Procedure Successfully Treated by Supra-aortic Trunk Debranching and Zone 0 Thoracic Endovascular Aneurysm Repair.经主动脉弓上干去分支和0区胸段血管腔内修复术成功治疗的Bentall手术后有症状的远端吻合口假性动脉瘤
EJVES Vasc Forum. 2020 Jan 8;47:90-96. doi: 10.1016/j.ejvssr.2019.12.003. eCollection 2020.