Wöhleke T, Martens S, Doss M, Wimmer-Greinecker G, Moritz A
Abteilung für Thorax-, Herz- und thorakale Gefässchirurgie, Klinik der J. W. Goethe Universität, Frankfurt/Main.
Vasa. 2002 May;31(2):132-5. doi: 10.1024/0301-1526.31.2.132.
Successful reoperation of a ruptured aortic arch aneurysm in a patient with Takayasu's disease. Takayasu's disease is an inflammatory arteriopathy that often progresses to stenosis or aneurysms of the large arteries of the aortic arch. In this connection aneurysms of the ascending aorta are rare. We report the case of a 33 years old female with a ruptured aneurysm of the ascending aorta complicated by a former operation of a truncobicarotidal bypass and severe sclerosis. After ascending aorta and aortic arch replacement was performed in deep hypothermia circulatory arrest we could discharge the patient in good condition on the 11. postoperative day.
1例大动脉炎患者主动脉弓动脉瘤破裂后的成功再次手术。大动脉炎是一种炎症性动脉病,常进展为主动脉弓大动脉的狭窄或动脉瘤。就此而言,升主动脉瘤罕见。我们报告1例33岁女性,患有升主动脉瘤破裂,曾行头臂动脉转流术且伴有严重硬化。在深低温停循环下行升主动脉和主动脉弓置换术后,患者于术后第11天康复出院。