Harada Hideyuki, Honma Yukiko, Hachiro Yoshikazu, Mawatari Tohru, Abe Tomio
Department of Thoracic and Cardiovascular Surgery, Hokkaido Prefectural Kushiro Hospital, Japan.
Ann Thorac Surg. 2002 Feb;73(2):644-7. doi: 10.1016/s0003-4975(01)03363-x.
A 24-year-old woman had undergone valvuloplasty of the aortic valve and external reinforcement of an aneurysm of the ascending aorta during the active phase of Takayasu arteritis 1 year prior to admission to our hospital. On examination, she was diagnosed as having a large false aneurysm of the ascending aorta with annuloaortic ectasia and severe aortic regurgitation, bilateral common carotid artery aneurysms with a left internal carotid artery saccular aneurysm, and bilateral subclavian artery and right vertebral artery obstructions due to Takayasu arteritis. Because of the risk of rupture, surgical intervention was carried out in spite of the fact that aortitis was in the active phase.
一名24岁女性在入院前1年的高安动脉炎活动期接受了主动脉瓣瓣膜成形术和升主动脉瘤外部加固术。检查发现，她被诊断为患有升主动脉巨大假性动脉瘤，伴有主动脉瓣环扩张和严重主动脉瓣反流，双侧颈总动脉动脉瘤伴左侧颈内动脉囊状动脉瘤，以及因高安动脉炎导致的双侧锁骨下动脉和右侧椎动脉梗阻。由于存在破裂风险，尽管主动脉炎处于活动期，仍进行了手术干预。
