主动脉补片成形术后出现近乎致命的咯血及紧急外科修复。

Near-fatal hemoptysis and emergency surgical repair after aortic patch-plasty.

作者信息

Kamler M, Tuengerthal S, Rauch H, Hagl S, Jakob H

机构信息

Department of Thoracic and Cardiovascular Surgery, University of Essen, Hufelandstrasse 55, 45122 Essen, Germany.

出版信息

Thorac Cardiovasc Surg. 2001 Oct;49(5):310-1. doi: 10.1055/s-2001-17799.

DOI:10.1055/s-2001-17799

PMID:11605145

Abstract

A 38-year-old man presented with massive hemoptysis followed by hemorrhage shock. The patient's history revealed a Dacron patch repair for aortic coarctation and recoarctation carried out twice, once 23 and once 10 years ago. Diagnosis of a ruptured descending aortic aneurysm with an aortobronchial fistula into the left lower lobe was established using CT scan. Emergency surgery consisted of left pneumonectomy and descending aortic graft replacement during deep hypothermic circulatory arrest. The patient was discharged 12 days later.

摘要

一名38岁男性患者出现大量咯血，随后发生出血性休克。患者既往史显示曾因主动脉缩窄和再缩窄接受过两次涤纶补片修补术，分别于23年前和10年前进行。通过CT扫描确诊为降主动脉瘤破裂并伴有左肺下叶主动脉支气管瘘。急诊手术包括在深度低温循环停搏期间行左肺切除术及降主动脉移植置换术。患者于12天后出院。