冠状动脉搭桥术后主动脉假性动脉瘤破裂并伴有包裹性纵隔脓肿。

Ruptured pseudoaneurysm of the aorta with encapsulated mediastinal abscess after coronary artery bypass grafting.

作者信息

Ueno Tetsuya, Ikeda Kazuyuki, Koga Yasuo

机构信息

Division of Cardiovascular Surgery, Ureshino National Hospital, Fujitsu-gun, Saga, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2003 Jul;51(7):319-21. doi: 10.1007/BF02719386.

DOI:10.1007/BF02719386

PMID:12892465

Abstract

Rupture of pseudoaneurysm of the aorta with chronic active mediastinitis after cardiac surgery is a catastrophic complication. We report a case of one-stage operation of urgent repair for ruptured pseudoaneurysm under deep hypothermic circulatory arrest, debridement of mediastinum, and omental transfer, with an uneventful postoperative course.

摘要

心脏手术后主动脉假性动脉瘤破裂合并慢性活动性纵隔炎是一种灾难性并发症。我们报告一例在深低温循环停搏下对破裂假性动脉瘤进行紧急修复、纵隔清创和网膜转移的一期手术病例，术后过程顺利。