Kokotsakis John N, Lioulias Achilleas G, Foroulis Christophoros N, Skouteli Eleni Anna T, Milonakis Michael K, Bastounis Elias A, Boulafendis Dimitrios G
Division of Cardiovascular Surgery, Diagnostic and Therapeutic Center of Athens Hygeia, Athens, Greece.
Tex Heart Inst J. 2003;30(3):233-5.
Pseudoaneurysms of the ascending aorta after the original inclusion/wrap technique of the Bentall procedure present a difficult surgical management problem and are associated with substantial morbidity and mortality. Patients with Marfan syndrome frequently develop aneurysms and dissections that involve multiple aortic segments. We present the case of a Marfan patient who successfully underwent repair of a giant ascending aortic pseudoaneurysm and concomitant repair of an abdominal aortic aneurysm. An aggressive surgical strategy followed by life-long cardiovascular monitoring is warranted in order to prolong the survival of these patients.
在Bentall手术最初的包裹技术后，升主动脉假性动脉瘤存在手术管理难题，且与较高的发病率和死亡率相关。马凡综合征患者常发生累及多个主动脉节段的动脉瘤和夹层。我们报告一例马凡综合征患者成功修复巨大升主动脉假性动脉瘤并同期修复腹主动脉瘤的病例。为延长这些患者的生存期，积极的手术策略及终身心血管监测是必要的。
